NPI | 1295013563 |
---|---|
Entity Type | Organization |
Authorized Contact | WILFRED BRACERAS Pres./CEO 305-863-8860 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH12474) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
335E00000X Prosthetic/Orthotic Supplier (Licence: FL 1314317) | |
Enumeration Date | 2011-08-03 |
Last Update Date | 2022-07-13 |