| NPI | 1174852917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE COGLE CEO 561-628-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: applied for) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |