| NPI | 1134208341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON J. BONILLA President 786-942-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |