| NPI | 1700995198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL BUKACHESKI Owner 954-797-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ort11) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-08-24 |