| NPI | 1457997785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO ALFONSO RODRIGUEZ Owner 239-210-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |