| NPI | 1740273879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W BERGIDA O PT Ician 561-276-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1387) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-06-25 |