| NPI | 1376132548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH BASILE AO 954-330-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-06-07 |