| NPI | 1073176970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDY IRWIN GRESELY Member Manager 954-306-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-12-04 |