| NPI | 1720051147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MCCARTHY COO 727-530-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC HC2284) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC HC2284) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-07-27 |