| NPI | 1588693329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PRIESTLY BAILEY President 904-737-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR46) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-12 |