| NPI | 1588055743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA VARGAS CFO 813-922-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL L14000179135) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |