| NPI | 1962709899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERLY C PARADOA President 772-299-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO3105) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |