| NPI | 1912284779 |
|---|---|
| Doing Business As | CHAMP'S KNOCKOUT D.M.E SERVICE |
| Entity Type | Organization |
| Authorized Contact | SERINA MAXWELL Owner 904-210-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-12-29 |