| NPI | 1386259208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREL T MEDEROS President 239-673-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-02-25 |