| NPI | 1821454562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SWEAT Managing Partner 904-742-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |