| NPI | 1457727398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA NIXON Owner 954-709-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |