| NPI | 1205310935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVANI MADIRAJU Mem Mgr. 813-501-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-12-13 |