| NPI | 1780075192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARRON STARKS Manager / Director 561-635-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2015-02-08 |