| NPI | 1902983158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE A DIAZ President 954-735-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |