| NPI | 1992286561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PERRY Medical Director 813-289-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |