| NPI | 1639769524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ESPINOZA Authorized Official 954-709-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-02-15 |