| NPI | 1245426139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CONNER Officer/Director 954-782-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313362) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |