NPI | 1093698037 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRES HERNANDEZ Owner 352-249-8211 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-08-08 |