| NPI | 1760441331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA MONTELONGO President 904-730-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2162) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-03-25 |