| NPI | 1275701724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RICHARD HODOR President 305-932-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL ME0017075) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-04-20 |