| NPI | 1720014129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIS REYES President 786-312-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 326512) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313276) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |