| NPI | 1053412346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS M YASOVA President 727-786-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: FL POR57) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: FL POR57) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |