| NPI | 1780207142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ESPINOZA Autorized Official 954-709-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |