| NPI | 1710227368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN GROSS Owner/Manager 954-830-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL DN7503) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2015-02-05 |