| NPI | 1891008017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ITTIG Administrator 727-568-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-05-06 |