| NPI | 1750892931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE CHAVEZ President 305-883-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME42167) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME42167) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |