| NPI | 1669188611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RYAN KIESEL President/Owner 954-461-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |