| NPI | 1063413946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO VICTORIA CARRAZANA President/ Licensed Orthotist 305-774-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 88) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 87) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |