| NPI | 1376189670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL DIAZ CASTILLO Authorized Offifial 954-616-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2021-02-18 |