| NPI | 1770247926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L GONZALEZ President 239-984-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-09-23 |