| NPI | 1790929768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MATTHEW GROTEKE President/CEO 813-367-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |