| NPI | 1023099926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIEDAD CARBALLO President 305-448-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH 135) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |