| NPI | 1568012185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUBIA D AVALOS President 561-635-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-12-08 |