| NPI | 1972810414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY FOSTER-KNIGHT Owner CEO 813-892-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 215740) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2018-01-08 |