| NPI | 1972064475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT AUGUSTINO Member Manager 561-826-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-04-08 |