| NPI | 1932334273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J BEATON Owner 727-896-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL Po312) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2022-12-14 |