| NPI | 1063460053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTO KEITH BOYETT President 904-733-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-04-15 |