| NPI | 1780689646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA S HUSE CEO 954-432-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 79) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-11-10 |