| NPI | 1598837262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE PEREZ AGUILAR President 352-360-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312906) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |