| NPI | 1770931693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CLAYTON MCPETERS Q A Manager 813-930-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0081934) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |