| NPI | 1316063795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ROUSE DELGADO Owner 352-326-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313244) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-01-30 |