| NPI | 1942429154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD BOWEN Office Administrator 321-259-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-06-28 |