| NPI | 1437295466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY KOW Owner 941-755-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 51803498681) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 51803498681) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-07-21 |