| NPI | 1306462973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PAWLAK Member Manager 561-439-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-10-22 |