| NPI | 1700409489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACIEL SERRA LUGO Authorized Official 561-490-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-08-30 |