| NPI | 1760133763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DELIZ NIEVES Manager 321-877-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |