| NPI | 1194728147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE BADER President 813-962-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR53) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-04-01 |