| NPI | 1528697067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DONALDSON President 954-415-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |