| NPI | 1134819337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN P WASHINGTON Owner/Manager 954-681-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |