| NPI | 1376228726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDEL GONZALEZ DIAZ Owner 813-770-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-03-15 |