| NPI | 1255328431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT T PETTI Owner 954-922-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT38) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |