| NPI | 1396804258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKOB DAVIDOV President 305-354-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312926) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |