| NPI | 1982774519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL CORDERP President 786-293-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL not req prov type) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |