| NPI | 1972593952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDA IVONNE ROMERO Director 305-817-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 590204-5) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 590203-7) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |