| NPI | 1124136817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E FEITZ Owner 850-784-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 3663) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-11-18 |