| NPI | 1467423079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BLACK President 772-398-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2018-03-22 |