NPI | 1962542019 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA ANN ECKENRODE Owner 407-323-7441 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL Ped154) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL Ped154) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2009-03-06 |