| NPI | 1295140101 |
|---|---|
| Other Name | SPENCER KISH |
| Entity Type | Organization |
| Authorized Contact | SPENCER KISH Managing Member 561-203-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-10-23 |