| NPI | 1053337485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUDALDO TORRES Owner 786-355-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21862) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-19 |