| NPI | 1689187270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WINSTON BLACK Owner 727-351-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-01-24 |