| NPI | 1457196495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Chief Executive Officer 813-679-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-12 |