| NPI | 1821152158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE C GONZALEZ President 786-344-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |