| NPI | 1508176736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS S ELISEO Principal 561-252-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |