| 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 |