| NPI | 1831157684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN GILG President/Certified Prosthetist 850-474-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO26) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-08-17 |