| NPI | 1811223183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON B HIGGINBOTHAM President 813-478-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL CRC057243) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |