| NPI | 1033917232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA GARCIA Compliance Officer 772-275-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-04-09 |