| NPI | 1124209150 |
|---|---|
| Doing Business As | BASIC MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | OSWALDO HERRERA Director 772-878-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 332B00000X) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2009-09-02 |