| NPI | 1992092621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY BURDETT VORDTRIEDE General Manager 850-533-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |