| NPI | 1003536590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FUNDORA ASCANO President 305-602-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |