| NPI | 1023375201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EVANGER President 904-517-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 4822) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2013-08-12 |