| NPI | 1306357470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SMITH Credentialing 813-416-6438 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-05-23 |