NPI | 1003117466 |
---|---|
Other Name | BAY PROSTHETIC CENTER |
Entity Type | Organization |
Authorized Contact | GLENN COTTRILL Sole Mbr 850-522-5343 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL POR31) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2017-03-29 |