| NPI | 1205321809 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TYSHAWN MARTIN Founder/ CEO 305-788-7779 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | 
| Additional Taxonomies | 174400000X Specialist | 
| Enumeration Date | 2018-06-26 | 
| Last Update Date | 2018-06-26 |