| NPI | 1811189111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE CARMONA DE FONTES President 239-458-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL Yo Be Announced) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-05-27 |