| NPI | 1295895795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASILE G FAKLIS Owner, Othotist 727-938-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 84) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-11-12 |