| NPI | 1376608729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISORA GONZALEZ President 786-507-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 332bp3500x) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |