| NPI | 1952387698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMIE D. CAMPBELL Owner 863-293-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312605) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-05-23 |