| NPI | 1043605025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY LYNN RODRIGUEZ Licensing 813-563-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |