| NPI | 1407256191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA W HAWLEY Managing Member 813-885-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |