| NPI | 1972596872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILEYVIS MARTIN Owner President 305-639-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312218) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |