| NPI | 1235648346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S YATROS Owner 942-757-4642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DN12435) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |