| NPI | 1568785434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SETH BLACK President 772-398-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02243) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-03-22 |