| NPI | 1447596853 |
|---|---|
| Doing Business As | BAPTIST INFUSION THERAPY BONNEVAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT DURKIN VP 904-202-5887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313883) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1313883) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2018-06-26 |