| NPI | 1245681808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN D PHILLIPS President 786-910-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |