| NPI | 1265471627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L LEYVA General Manager Owner 954-335-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2376) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-11-20 |