| NPI | 1386773661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY WILSON Manager 850-434-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 022025600-01) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |