| NPI | 1942960208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO GOMEZ AGUILA Owner 305-413-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-05-06 |