| NPI | 1366199481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHRYSOSTOME Owner 561-762-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |