| NPI | 1013290071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN GREGORY YAEGER President 305-342-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |