| NPI | 1659795748 |
|---|---|
| Former Legal Business Name | NORTH FLORIDA ORTHOTIC COMPANY |
| Entity Type | Organization |
| Authorized Contact | JERE SCOLA President 352-377-7003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED157) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT89) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL orf82) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2016-12-13 |