| NPI | 1659368355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL INDA President 305-819-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3201987) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 686) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |