| NPI | 1386032621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM EVANGER President 904-517-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000977A) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |