| NPI | 1396892006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN J. GULLO President 813-890-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313117) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |