| NPI | 1831379817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BERRY President/ Owner 305-651-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR 107) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL POR 107) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2018-08-29 |