| NPI | 1295348266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXI SANDOVAL PENALVER President 239-599-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-11-23 |