| NPI | 1063572345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PENA President 305-874-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL Pending AHCA Lic#) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |