| NPI | 1255809539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA GARCIA General Manager 941-706-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-02-08 |