| NPI | 1619323417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M PREBECK VP Of Operations 727-581-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-11-25 |