| NPI | 1710982236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO PINTO President 305-557-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5047B2) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH13111) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-11-30 |