| NPI | 1407077332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEGRA MATOS President 305-270-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312162) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |