| NPI | 1417968892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER K KING Owner 954-978-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT121) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-05-05 |