| NPI | 1235737321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN CARMONA President 239-599-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-01-12 |