| NPI | 1821003401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY HERNANDEZ President 954-964-8754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312519) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3204164) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-11-05 |