| NPI | 1740860675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATESIA JOHNSON Owner 727-492-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-04-17 |