| NPI | 1447520747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCHOEN Dpm 904-384-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 5497720001) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |