| NPI | 1053590745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY HERNANDEZ President 305-558-7978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |