| NPI | 1700919917 |
|---|---|
| Doing Business As | PRESCRIBED PEDIATRIC EXTENDED CARE PEDIATRIC HEALTH CHOICE |
| Entity Type | Organization |
| Authorized Contact | HUONG L TRAN Vice President 813-880-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-04-27 |