| NPI | 1841225182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DILLMAN Vice President 904-272-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 20-8012346099-6) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-05-09 |