| NPI | 1386929347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GINGRAS Director Orthotics Prosthetics 813-975-7116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 4184) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2024-04-22 |