| NPI | 1134115108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA SHADRIN President 954-458-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1299) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-03-31 |