Organization
BAY QUALITY PROSTHETICS LLC
Active
Other names
BAY PROSTHETIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN COTTRILL (SOLE MBR)
(850) 522-5343
Entity
Organization
Contact information
Practice address
2195 JENKS AVE STE C, STE D, PANAMA CITY, FL 32405-4683
(850) 522-5343
(850) 640-0901
Mailing address
2195 JENKS AVE STE C, STE D, PANAMA CITY, FL 32405-4683
(850) 522-5343
(850) 640-0901
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
POR31
FL
Other
Enumeration date
11/16/2010
Last updated
03/29/2017
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