| NPI | 1447872122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL BAGBY Authorized Member 727-415-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 170100000X Medical Genetics, Ph.D. Medical Genetics | |
| 170300000X Genetic Counselor, MS | |
| 174H00000X Health Educator | |
| 202K00000X Phlebology | |
| 251E00000X Home Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-11-05 |