| NPI | 1215440268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PATINO Administrator 954-505-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |