| NPI | 1760694814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OYAGHIRE IDEHEN President 407-331-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL OT7106 AND OTA213) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |