| 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 |