| NPI | 1629451273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO REYES President 305-461-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO2330) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO2330) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |