| NPI | 1679576375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W FERRY Reimbursement Specialist/General Ma 850-874-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1875) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-09-18 |