| NPI | 1124100474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDA SANTOS President 813-514-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312480) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |