| NPI | 1912043563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MATIRE General Manager President 561-995-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312763) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |