| NPI | 1932483831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID COOPER Office Manager 850-607-6126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR145) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-03-19 |