| NPI | 1528091774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS B MENDOZA President 352-243-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |