| NPI | 1982621884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W HUND Manager 904-829-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME68633) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-10-08 |