| NPI | 1639885627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAIRO GOMEZ MEJIA CEO / President 954-516-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-03-08 |