| NPI | 1518928779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY J HIERS President 904-726-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312026) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-04-03 |