| NPI | 1780339671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO DOMINGUEZ Manager 786-326-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |