| NPI | 1790727477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY U UKPONG Owner /President 904-745-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2264) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-06-15 |