NPI: 1386748291 · RIVERVIEW, FL 33578 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/12/2006
| Authorized Official | COLBERT, SUSAM (DIRECTOR PHCY ENROLLMENTS) |
| NPI Enumeration Date | 09/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0004A | 13 | 13 | $0.00 |