| NPI | 1619583093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ESPINOZA Authorized Official 954-709-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-11-17 |