| NPI | 1588976815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA ANNE BERG Managing Member 904-629-3197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313693) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-07-21 |