| NPI | 1770571531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES FRAGA President 305-883-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME669) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |