| NPI | 1942210927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L GREEN Owner/President 352-377-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-11-27 |