| NPI | 1649375460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R FLOYD President 850-675-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 366) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-02-18 |