| NPI | 1548343916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THIGPEN Owner 954-721-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 335E00000X) |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2024-01-09 |