| NPI | 1760470710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DEVITO Secretary 352-624-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 416) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |