| NPI | 1730364530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN MARIE MARTI Owner 954-541-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 1313560) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313560DME4412) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2016-10-19 |