| NPI | 1770604258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA AZUOMA NWOGA Businessowner 904-347-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 35707) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |