| NPI | 1972789170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E HALL Owner 561-966-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL P02108) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2016-09-13 |