| NPI | 1487446985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE GILLIS President 813-517-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| 225000000X Orthotic Fitter | |
| 224L00000X Pedorthist | |
| 222Z00000X | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2026-03-31 |