| NPI | 1114966140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS GRABERAN FREIJE President 305-557-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32:04486) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312796) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2009-05-13 |