| NPI | 1083721385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELYN REAL COCAS President 954-987-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 3290032414) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |