| NPI | 1073762431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARTINA MAHABIR-HERRERA Director 772-323-2661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |