| NPI | 1396062451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANELA MARTINEZ President 904-375-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL OT11418) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OT11418) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2011-09-28 |