| NPI | 1144325986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DILLMAN Vice President 904-272-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1678) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-21 |