| NPI | 1205968013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MCKAY Director Of Reimbursement 727-321-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR22) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-04-18 |