| NPI | 1720765399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADLERIS ORTIZ-RODRIGUEZ Owner 352-741-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-12-01 |