| NPI | 1144201583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NEWKIRK CFO 813-448-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1661) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 1661) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3202831) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-05-02 |