| NPI | 1861685083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAF MICKLE HOLM President 813-661-9162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR124) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-11-27 |