| NPI | 1659911444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSBULLAH MARK YAMUSENOR Manager 954-448-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |