| NPI | 1487284386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK N. KOKONAS Member Manager 954-653-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2020-10-05 |