| NPI | 1205151792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J FITZGERALD President 904-233-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |