| NPI | 1700333606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LAVOIE Owner 954-394-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30330) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-03-04 |