| NPI | 1578565842 |
|---|---|
| Doing Business As | MID-FLORIDA PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | VICTOR BUSTAMANTE Owner 352-331-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 89) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT 62) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-07 |