| NPI | 1659446573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY WILSON Manager 850-434-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH7267) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |