| NPI | 1629840749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO DIAZ SAN QUINTIN Owner 954-251-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-12-20 |