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 |