| NPI | 1134211857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL KUTSENKO President 954-455-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1312838) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |