| NPI | 1568961894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON VAZQUEZ President 386-585-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |