| NPI | 1972210508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA CARRASCO President/ Operation Manager 813-409-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-06-02 |