| NPI | 1194902049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAINA SIMONSON Office Manager 321-638-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO2762) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2011-12-15 |