| NPI | 1295286888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES GOMEZ Director 305-987-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L09000043438) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL L09000043438) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL L09000043438) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL L09000043438) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |