| NPI | 1922344746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOULTON KEANE Medical Director 305-270-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-01-10 |