| NPI | 1972592996 |
|---|---|
| Doing Business As | GULF COAST ORTHOTICS AND PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | GRACE ANGELINE Reg Compliance Specialist Iii 714-961-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR97) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-11-18 |