| NPI | 1275127888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GUILLEN President 786-666-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |