| NPI | 1104923481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO OLBERA President 305-228-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1141) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: FL 1141) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1141) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |