| NPI | 1568872190 |
|---|---|
| Doing Business As | ORTHOTIC & PROSTHETIC CENTER OF PORT ST LUCIE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GELAZNIK Director Of Finance & Operations 727-498-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 101) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-11-16 |