| NPI | 1316161672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY DEAN CLEALL President 941-925-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL CP2482) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-10-07 |