| NPI | 1063570828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN REYNALDO GONAZALEZ President 786-265-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL not req 4 this provi) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |