| NPI | 1558855205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDIS NATOLI Executive Director 407-248-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-06-17 |