| NPI | 1174639694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO M REYES President 305-552-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR66) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1105) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-01-28 |