| NPI | 1134120462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WALLMAN President 954-731-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 220 AHCA) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |