| NPI | 1699289041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENIER DOMINGUEZ President 786-302-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |