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Organization
ROCKET ORTHOTICS & SUPPLY CORP
Active
Organization
ROCKET ORTHOTICS & SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZILTA REHABILITATION SERVICES (REGISTERED AGENT)
(786) 233-9283
Entity
Organization
Contact information
Practice address
1926 HOLLYWOOD BLVD # 304-128, HOLLYWOOD, FL 33020-4532
(561) 247-5577
Mailing address
1926 HOLLYWOOD BLVD # 304-128, HOLLYWOOD, FL 33020-4532
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
NULL
224L00000X
Pedorthist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
10/25/2021
Last updated
09/29/2023
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