| NPI | 1548500911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNDI HOENGE Manager 904-786-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |