| NPI | 1245521525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL OKEOMA OTUONYE Director 850-933-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L11000044712) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |