| NPI | 1801199237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEON WATSON President 786-344-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 616231) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL 616231) |
| 261QH0100X Clinic/Center, Health Services (Licence: FL 616231) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL 616231) | |
| 305R00000X Preferred Provider Organization (Licence: FL 616231) | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |