| NPI | 1972366540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYVID DERAT Owner 407-633-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |