| NPI | 1821288564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GELAZNIK Director Of Finance & Operations 727-498-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL POR101) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2022-11-16 |