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1033130182
SOUTHEAST ORTHOTICS INC
TAMPA, FL
NPI
1033130182
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Entity Type
Organization
Authorized Contact
BRENT E SQUIRES
Owner
813-986-9657
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2006-07-22
Last Update Date
2011-07-05
Business Address
SOUTHEAST ORTHOTICS INC
17429 BRIDGE HILL CT SUITE D
TAMPA, FL 33647-3467
Phone number: 813-615-2277
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Mailing Address
SOUTHEAST ORTHOTICS INC
10506 CORY LAKE DR
TAMPA, FL 33647-2710
Phone number: 813-986-9657
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