| NPI | 1417970765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY R LAVERDE President 786-499-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-08-27 |