| NPI | 1972660157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABNER JIMENEZ President 727-842-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1312078) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-11-12 |