NPI | 1225093032 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD MARTIN Prostheist Orthotist Owner 954-722-1995 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL por38) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2010-10-26 |