| NPI | 1528452133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE HADERTHAUER Accting Manager 813-479-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |