| NPI | 1093131344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA JERMAREO STEPHENS Office Manager 561-396-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |