| NPI | 1962478222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA A. DURRWACHTER Owner 863-682-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1617) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-22 |