| NPI | 1013248806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BLAKENEY Owner/Operator 850-476-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 660943) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |