| NPI | 1467532697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S KAMAN Owner Partner 904-829-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1689) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-13 |