| NPI | 1952304438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P GRIGGS CEO 407-206-0040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 437) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TN 437) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 437) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-06-08 |