| NPI | 1073930608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA PERALTA President 305-305-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1314084) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2015-07-08 |