| NPI | 1104925973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN MONTES President 305-825-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313126) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32:04501) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |