| NPI | 1366504425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D MCCULLOUGH President Owner 727-846-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO6) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |