| NPI | 1730148735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABNER JIMENEZ President 727-535-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1076) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |