| NPI | 1396616694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONYA ROGERS Owner 407-770-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |