| NPI | 1306838792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA J. WALKER Office Manager 352-596-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 16) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2010-03-19 |