| NPI | 1043749518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN METELLUS President 561-574-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: FL CE10000534) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-10-26 |