| NPI | 1912137225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DIAZ Vicepresident 904-723-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |