| NPI | 1104068915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE R BROWN Company Manager 904-278-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR154) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |