| NPI | 1023016144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HARUTYUNYAN President 305-266-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL AHCA 897) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL AHCA 897) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |