| NPI | 1194548511 |
|---|---|
| Doing Business As | KINGDOM MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FREDRICK WILLIAMS Clinic Director 813-495-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-18 |