| NPI | 1134749484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MATTHEW BONAVENTURA Owner 954-775-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-07-02 |