| NPI | 1740522754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DELATORRE CEO 813-780-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2020-03-19 |