| NPI | 1770581498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELDA MILLER President 305-623-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 54) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 54) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 54) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-09-11 |