| NPI | 1982634259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMILA MITRA Owner 352-237-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 32-03069) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1879) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-05-15 |