| NPI | 1649823121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL LOPEZ Member Manager 954-226-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |