| NPI | 1255384285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN SPAW Owner/President 954-935-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |