| NPI | 1699275891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DE LA CERDA Owner 813-702-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-08-21 |