| NPI | 1386611978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN RICHARD President 904-858-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR67) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-07-01 |