| NPI | 1760009179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL LEE SANTIAGO Owner 561-201-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2022-04-04 |