| NPI | 1942612502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA ALLEMAND Front Office 904-737-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |