| NPI | 1942718283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA D DAVIDSON Owner 727-754-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-04-28 |