| NPI | 1649220633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD FONAROV President 305-405-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 299991984) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |