| NPI | 1679219950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME SENIOR Authorized Official 786-440-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |