| NPI | 1083759559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVIO MARTINEZ President 305-685-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH 24169) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-10-21 |