| NPI | 1740748623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA C. FIALA Member Manager 561-340-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-09-25 |