OrganizationActive
Manuel Y Paulino
NPI 1609006667 · Parenteral & Enteral Nutrition Supplies (DME) · Jacksonville, FL
Provider details
- NPI number
- 1609006667
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Roberto Diaz, President(305) 202-4751
Specialties & taxonomies
Suppliers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
3501 Townsend Blvd # 305
Jacksonville, FL 32277-9303
Phone: (305) 202-4751
Approximate (ZIP-level) locationGet directions
Mailing address
3501 Townsend Blvd # 305
Jacksonville, FL 32277-9303
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2009-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.