| NPI | 1124158134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE K GULLET President 813-662-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-24 |