| NPI | 1902836729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORAZIO LICCIARDELLO President 305-971-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 10669) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 320442) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |