| NPI | 1275906653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L NEWMAN Owner 561-502-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PED56) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED56) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |