| NPI | 1124873906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TURQUISHA PEACOCK Cranial Prosthesis Specialist 305-450-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-24 |