| NPI | 1356598494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GROENEVELD President 954-650-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORF178) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |