| NPI | 1063163079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ISRAEL YANTA RANKIN President 786-238-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-31 |