| NPI | 1164844528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO MALO President 954-430-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN17046) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-03-17 |