| NPI | 1265426068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVAREZ J ADA General Manager 954-490-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 0501067) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |