| NPI | 1174152029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA VINCEZI Member Manager 954-866-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-10-22 |