| NPI | 1114213519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SEGEL Physician 904-384-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-03-08 |