| NPI | 1356337604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTERN President 954-525-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: FL ORT109) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: FL POR141) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312313) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2009-04-14 |