| NPI | 1912332982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE L CLEALL President 941-322-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO43) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-11-27 |