| NPI | 1407042641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA S. MANTEI Owner 813-948-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-12-12 |