| NPI | 1588087001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIANE M RODERIQUES Owner 941-408-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL POR181) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-03-21 |