| NPI | 1649223298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEISY G HERNANDEZ President 305-668-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1312448) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-28 |