| NPI | 1093930919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G MARTIN Manager 941-629-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR105) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-12-01 |