| NPI | 1962010934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA P CORONADO Manager Director 786-842-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-22 |