| NPI | 1104540509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT PUCKETT President 904-634-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |