| NPI | 1154477214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EUGENE STACEY Vice President 305-926-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 976) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |