| NPI | 1104843093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO LUIS DIAZ President 954-455-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312627) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |