| NPI | 1568596690 |
|---|---|
| Former Legal Business Name | SOUTHWEST FLORIDA PROSTHETIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS ANERINO Certified Anaplastologist 239-936-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-07-14 |