| NPI | 1114255536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL D MONTES Owner 727-530-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL P00001887) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2010-02-24 |