| NPI | 1528287315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS G GALLO Director 941-486-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 6) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |