| NPI | 1003569633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEN GONZALEZ President 786-591-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |