| NPI | 1649025479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON POWELL Business Office Director 850-219-1885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |