| NPI | 1255454161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO S GOMEZ President 305-482-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2005-6212) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |