| NPI | 1164481586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN G WOOD President 813-558-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-04-12 |