| NPI | 1497251979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORRIS RUSSELL COO 727-637-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225CX0006X |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |