| NPI | 1902855752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAXMAN President 954-455-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO 3232) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-11-03 |