| NPI | 1518382720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARTINEZ President 305-262-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2015-07-28 |