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 |