| NPI | 1487405155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE R THOMPSON Manager 561-970-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2025-11-06 |