| NPI | 1316071756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT BERRY President 352-253-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT3, PRO37) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-10-28 |