| NPI | 1376037432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KOEHLINGER Owner 727-954-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-22 |