| NPI | 1326023763 |
|---|---|
| Doing Business As | BOCA CHICA MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | EMIL LEE PANCIERA President 956-542-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0065168) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0065168) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 56083) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-04-25 |