| NPI | 1992823660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ELOICE MORRIS Administrator 407-578-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO5000154051) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |