| NPI | 1003848748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R PADGET Member 850-477-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312081) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |