| NPI | 1902177629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE EDWARD CROWE Owner 863-937-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO125) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |