| NPI | 1891788899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RANDAZZO Operations Manager 813-639-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 8510) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-05-25 |