| NPI | 1730453515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD M VAN BAUSH President 305-801-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |