| NPI | 1164994935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYCLIFFE MCINTOSH CEO 813-773-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |