| NPI | 1639682206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMONT MARCELL JONES Owner 727-351-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |