| NPI | 1346283850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S WILKINS President 321-639-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 55) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |