| NPI | 1972697662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCEPCION MIJANGOS President 239-425-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |