| NPI | 1528069192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LAWRENCE FRIES President And Owner 941-235-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 54) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |