| NPI | 1578743712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA XIOMARA VEGA President 305-885-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 158) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 158) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 158) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |