| NPI | 1568630200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA AMYX Owner 772-569-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1998) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |