| NPI | 1265614465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D SHIRLEY President 904-398-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME21555) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |