| NPI | 1619817665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEN CONRAD MARTIN Owner 786-504-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |