| NPI | 1770624520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DAVIDOV President 305-354-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |