| NPI | 1033686191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN NAMBALLA Owner/Mem Mgr 813-215-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |