| NPI | 1124013420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO A DE LA PEDRAJA Pres/CEO 305-441-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1133) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |