| NPI | 1710152285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIBOON KITIRATANASUMPUN Owner 727-412-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 344600000X Taxi | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |