| NPI | 1598936262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL VERNON JONES Owner 904-354-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL DO3413) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-11-10 |