NPI | 1730367897 |
---|---|
Entity Type | Organization |
Authorized Contact | JONI P JONES Doctor/Owner 863-382-3228 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO2173) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2010-11-02 |