| NPI | 1770528101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NANNIE Authorized Official 727-530-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-03-03 |