| NPI | 1821454646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE PIEDRA Owner 786-218-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DN14923) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |