| NPI | 1184769168 |
|---|---|
| Former Legal Business Name | BREVARD PROSTHETICS INC. |
| Entity Type | Organization |
| Authorized Contact | SUMESH SAXENA Member 219-648-2644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-03-28 |