| NPI | 1629113162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY HERNANDEZ Office Manager 305-592-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 568) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 568) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 00433) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-04-07 |