NPI | 1801350103 |
---|---|
Former Legal Business Name | VITAL MEDICAL SUPPLY INC |
Entity Type | Organization |
Authorized Contact | DEBORA COTA President 305-915-6781 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |