| NPI | 1134156284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA VIQUILLON President 786-301-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 648) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |