| NPI | 1730436197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERALD ZETA BARBAJO Pedorthist 954-573-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PED159) |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2012-09-30 |