| NPI | 1083087894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SHANE MILLER President 813-903-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |