| NPI | 1982606364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELIS BAHDER President 305-870-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2148) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-12-15 |