| NPI | 1114218773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK RUIZ Owner/CEO 904-777-1979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1735580000) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |