| NPI | 1043457666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CIARROCCHI CFO 727-824-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2010-11-04 |