| NPI | 1043815434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TOOLE Compliance Officer 813-803-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-12-08 |