| NPI | 1912904160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBETT HIDALGO President 305-888-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1086) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32 03576) |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2007-10-09 |