| NPI | 1386678357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO PALENZUELA President 813-932-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |