| NPI | 1104536432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERMIN QUINTANA Owner/Authorized Official 813-298-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |