| NPI | 1467597450 |
|---|---|
| Former Legal Business Name | BREVARD PROSTHETICS, INC. |
| Entity Type | Organization |
| Authorized Contact | LAURA ALLEN Contracting Manager 336-339-9671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-08-23 |