| NPI | 1477169340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PADILLA Member Manager 786-399-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |