| NPI | 1639233091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA L SEUC Owner 305-887-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 21578096) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |