| NPI | 1811956113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L FORTUNE President 813-963-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312512) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |