| NPI | 1962646398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHESHIRE Secretary 352-624-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313558) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2010-01-28 |