| NPI | 1437692514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT LIPSTEIN Manager 813-417-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |