| NPI | 1922553072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY COTTRELL Area Practice Manager 850-219-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |