| NPI | 1639677008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANITA CROCKETT Manager 561-323-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |