| NPI | 1588783922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE FALLO President 561-667-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 200716652) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |