| NPI | 1154493203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN PRICE President 813-935-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORF 167) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME 1069) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-05-04 |