| NPI | 1043638307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DAWN HADDEN Managing Member 850-777-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 685961) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |