| NPI | 1043205156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H MOORE Secretary/Treasurer 904-731-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1409) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |