| NPI | 1407961618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK ODONELL Orthotist President 352-787-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 61) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312064) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO91) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-03-28 |