| NPI | 1275569675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M GORDON President 954-747-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312768) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: FL 1312768) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1312768) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-10-19 |