| NPI | 1457973240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL OCALLAGHAN LLERA President 239-424-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-11-09 |