| NPI | 1780767277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT A NORIEGA President/Owner 813-681-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313051) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |