| NPI | 1629751870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT TYLER PASALODOS CEO/Compliance Officer 954-998-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-12-04 |