| NPI | 1285198242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LOPEZ Member Manager 772-291-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-09-12 |