| 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 | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2026-03-15 |