| NPI | 1649746645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WIGDOR Authorized Official 305-931-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |