| NPI | 1528097425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES FEDELE President 561-274-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1313247) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-09-04 |