| NPI | 1710007604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISI C JOHNSON Director 727-470-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-06-17 |