| NPI | 1629753397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INAURY FLEITES MESA Owner 954-766-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-08-22 |