| NPI | 1588600373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDIA DOMINGUEZ President 305-631-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313039) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3204704) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-11-13 |