| NPI | 1134320914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GABRIEL MACIAS President 305-234-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 6047450001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-04-14 |