| NPI | 1215716725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS M REYES FUNDORA Owner/Authorized Officila 954-440-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-05 |