| NPI | 1124425525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN THOMAS Billing Manager 904-260-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |