| NPI | 1063414993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LAWRENCE FRIES President/Owner 239-995-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 54) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |