| NPI | 1174863989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON AARON PIERCE Owner 904-724-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-06-07 |