| NPI | 1285017855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONA RIVERA Insurance/Billing Coordinator 863-318-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |