| NPI | 1114968161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CAMPUSANO President 786-318-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL pending) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |