| NPI | 1215566047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PANTELIDES Owner 727-316-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-01-08 |