| NPI | 1962603431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE OKEKE Director 813-989-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH0020915) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |