| NPI | 1922805597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON DOUGLAS LEON Manager 305-335-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-05-04 |