| NPI | 1346574670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN K JACOBS Director/Manager 904-541-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |