| NPI | 1104402346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANELLY SOTO VELEZ Owner CEO 727-866-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2022-04-09 |