| NPI | 1891776340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUE LANGENBACH CEO Pres 904-733-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 578) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-03-07 |