| NPI | 1831757756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CONNER Office Manager 904-626-5802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |