Bay Prosthetic Center

NPI 1346245081 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1346245081
Enumeration Date 06/17/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GLENN E GLENN
Position PRESIDENT/OWNER
Phone (850) 863-5959
Fax (850) 863-5977
Practice Location
930 MAR WALT DR
STE D
FORT WALTON BEACH FL, 32547-6706, US
Phone (850) 863-5959
Fax (850) 863-5977
Business Location
930 MAR WALT DR
STE D
FORT WALTON BEACH FL, 32547-6706, US
Phone (850) 863-5959
Fax (850) 863-5977
Toxanomy
Taxonomy Code 335E00000X
License State Florida
License Number POR31
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According to our database, Bay Prosthetic Center NPI is 1346245081, taxonomy code is 335E00000X and license number is POR31, license state is located at Florida. Bay Prosthetic Center physically located at 930 Mar Walt Dr, Fort Walton Beach FL, 32547-6706. NPI Number 1033115704 has the healthcare provider type.

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1346245081 NPI number is provided on an as is basis without warranty of any kind. 1346245081 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Prosthetic Center are for informational purposes only.