| NPI | 1770162497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GOMEZ Autorized Official 954-765-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2022-05-11 |