Bay Quality Prosthetics Llc

NPI 1003117466 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1003117466
Enumeration Date 11/16/2010
Last Updated 11/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GLENN GLENN
Position SOLE MBR
Phone (850) 863-5959
Fax (850) 863-5977
Practice Location
930 MAR WALT DR
STE D
FT WALTON BCH FL, 32547-6706, US
Phone (850) 863-5959
Fax (850) 863-5977
Business Location
930 MAR WALT DR
STE D
FT WALTON BCH FL, 32547-6706, US
Phone (850) 863-5959
Fax (850) 863-5977
Toxanomy
Taxonomy Code 332BC3200X
License State Florida
License Number POR31
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According to our database, Bay Quality Prosthetics Llc NPI is 1003117466, taxonomy code is 332BC3200X and license number is POR31, license state is located at Florida. Bay Quality Prosthetics Llc physically located at 930 Mar Walt Dr, Ft Walton Bch FL, 32547-6706. NPI Number 1033115704 has the healthcare provider type.

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1003117466 NPI number is provided on an as is basis without warranty of any kind. 1003117466 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Quality Prosthetics Llc are for informational purposes only.