| NPI | 1447586466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS GILLIAM Managing Member 904-553-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |