| NPI | 1639483258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL PEREZ President 813-223-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313702) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2012-05-11 |