| NPI | 1861943169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VERSACIO President 954-889-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |