| NPI | 1962969840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA MENDIOLA Assistant Manager 407-352-6888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-09-03 |