| NPI | 1093023608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELTON MITCHELL HALLS Registered Respiratory Therapist 904-329-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L10000091096) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |