| NPI | 1093698037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES HERNANDEZ CEO 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 | 2026-01-29 |