| NPI | 1891978466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN MCCOY President 904-262-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1996) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-07-23 |