| NPI | 1083747513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D REEDY Pres. 386-437-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED63) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |