| NPI | 1124268081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE C. MATTHIEW President 813-249-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |