| NPI | 1255356945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GELAZNIK Director Of Finance & Operations 727-498-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL por101) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-11-16 |