| NPI | 1356990071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA DIDOMENICO Authorized Official 561-901-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-03-28 |