| NPI | 1598766651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY M DUNCAN General Manager/Owner 386-671-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1075) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-03-15 |