| NPI | 1710083381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO RENE LASO Owner/Gm 786-291-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312481) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-08-02 |