| NPI | 1477914869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DELATORRE CEO 813-780-8774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2020-03-19 |