| NPI | 1962092692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE J MINOTT Owner/Authorized Official 954-801-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-27 |