DANIEL ROBERT BERRY

TAVARES, FL
NPI1598899932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: FL  ORT3)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  PRO37)
Enumeration Date2007-03-16
Last Update Date2013-10-28
Business Address
-- DANIEL ROBERT BERRY LPO
405 E ALFRED ST
TAVARES, FL 32778-3301
Phone number: 352-253-9255
Mailing Address
-- DANIEL ROBERT BERRY LPO
405 E ALFRED ST
TAVARES, FL 32778-3301
Phone number: 352-253-9255