| NPI | 1295354108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVERE JOHNSON President 954-255-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2021-02-22 |