| NPI | 1821598731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY A DULL Authorized Official 850-437-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PT18460) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |