| NPI | 1720123607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RUGGIERI Sd 407-629-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: FL PED34) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL CPED34) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |