| NPI | 1396257077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA Y GILREATH Owner 407-246-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2020-01-21 |