| NPI | 1427340900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R HINDER Dentist 904-247-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN 15567) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-01-05 |