| NPI | 1366881724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARA V BORREGO Mgrm 305-255-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 7433490) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-06-16 |