| NPI | 1417267634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA ROSA WEDDLE President 305-262-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312136) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 1312136) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2015-01-16 |