| NPI | 1063198166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OVAIS ILYAS MIANNOOR Manager 786-647-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-07-27 |