NPI | 1063456408 |
---|---|
Former Legal Business Name | UNIVERSAL DESIGN SOLUTIONS PDG MEDICAL |
Entity Type | Organization |
Authorized Contact | VINCE CARL PESSOLANO President 904-721-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1729) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2012-04-20 |