| NPI | 1518384692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KOPPELBERGER Owner 813-788-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |