NPI | 1265443758 |
---|---|
Doing Business As | VITAL CARE OF PENSACOLA |
Entity Type | Organization |
Authorized Contact | S FAIRMAN Owner 850-433-5404 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL PH16759) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |