| NPI | 1053487975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER EDWARD IGNASIAK CEO 954-742-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME643) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-02-13 |