| NPI | 1871646406 |
|---|---|
| Former Legal Business Name | (SAME AS ABOVE) |
| Entity Type | Organization |
| Authorized Contact | LEONEL LEZCANO President 305-282-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-08-12 |