| NPI | 1861497505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON WEBER Secretary/Treasurer 813-620-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL HME-22) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2022-07-13 |