| NPI | 1972103380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN CARMONA Authized Official 305-417-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-02-18 |