| NPI | 1255396842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. CUCUZ Director Of Operations 813-620-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH 13923) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL PH 13923) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH 13923) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH 13923) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL PH 13923) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |