| NPI | 1730764978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE VEGA ACEVEDO Owner/Manager 813-753-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-11-01 |