| NPI | 1356223986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON O GONSALVES Owner 954-864-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-08-04 |