| NPI | 1073173480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGAINDRA SRIVASTAV Manager 813-603-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |