| NPI | 1902986748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE NIELD President 904-731-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PED69) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-09-08 |