| NPI | 1063002970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL DIAZ CASTILLO Authorized Official 954-616-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-04-30 |