| NPI | 1982847273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FUENTES President 305-804-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL In Process of Ahca) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-06-12 |