| NPI | 1205974607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CORDOVA Owner 954-432-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OPC2957) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2010-08-19 |