| 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 |