| NPI | 1750391751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO L MEDINA Chief Executive Officer 305-238-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 3204155) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-07-16 |