| NPI | 1336758945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS HERNANDEZ President 239-984-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-10-29 |