| NPI | 1568804102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MADDOX President 850-580-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |