| NPI | 1982243713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BERGERON President 561-309-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-01-17 |