| NPI | 1023241148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ITTIG Administrator 727-568-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2022-08-09 |