| NPI | 1396179610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN GROSS Manager 954-830-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN7503) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |