| NPI | 1619402575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG COOPER Managing Member 561-374-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1314250) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |