| NPI | 1578827168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE TAYLOR Administrator 954-415-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |