| NPI | 1962633693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD G MACDONALD Managing Member 727-244-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |