| NPI | 1700978608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E HERNANDEZ President 305-820-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2360) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: FL 2360) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 2360) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-10-27 |