| NPI | 1033282702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE RHODES MIRACLE President 904-880-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL TT8185) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |