| NPI | 1700499076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON M. BRADEN Owner 407-992-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 251F00000X Home Infusion | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-11-06 |