| NPI | 1275051245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE WICKER Authorized Official 561-855-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-06-11 |