| NPI | 1316619992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO PEREZ Authorized Official 954-688-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-05-11 |