| NPI | 1962178467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONICE PERRY Owner 321-297-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |