| NPI | 1881063451 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CARLOS RUDOLPH HUNT Owner 727-479-5504 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL BTR0034648) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |