| NPI | 1952614968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA GROENEVELD President 954-650-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORF12) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |