NPI | 1467597450 |
---|---|
Former Legal Business Name | BREVARD PROSTHETICS, INC. |
Entity Type | Organization |
Authorized Contact | SUMESH SAXENA Contracts Manager 219-648-2644 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-02-20 |
Last Update Date | 2023-03-28 |