| NPI | 1245608496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GRAHAM DAVIES President 904-249-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL ME64246) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |