| NPI | 1689867269 |
|---|---|
| Doing Business As | CERTIFED O & P DBA SOUTH BEACH O & P |
| Entity Type | Organization |
| Authorized Contact | DAVID WALTER EDWARDS Director, VP 305-672-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |