| NPI | 1700064896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEPPY H. EISENFELD Owner 561-470-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO1496) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1496) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2010-10-19 |