| NPI | 1538874433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE TRUEBLOOD Billing Director 321-549-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X |
| Additional Taxonomies | 261Q00000X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-30 |