| NPI | 1588860456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BOWMAN Vice President 813-880-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 51845.0000) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |