| NPI | 1255658316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNST NICOLITZ President 904-398-2720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ZZ ME31869) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |