| NPI | 1922544659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WELDON Owner 850-877-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 4780120174684) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |