| NPI | 1114215498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTERN President 954-917-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR65) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |