| NPI | 1164822359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARALDO J. OTERO Owner 321-242-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |