| NPI | 1760472047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STINE Owner 813-251-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 3203648) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2010-10-26 |