| NPI | 1679059810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MAMONE Member Manager 561-288-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-08-09 |