| NPI | 1932958915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELPIDIO CARRAZANA HERRERA Owner 727-906-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |