Organization
FLORIDA BRACING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MATTERN (PRESIDENT)
(954) 917-5655
Entity
Organization
Contact information
Practice address
1111 GLYNCO PKWY, BUILDING 2, SUITE 110, BRUNSWICK, GA 31525-7921
(912) 262-1716
Mailing address
500 SE 17TH ST, SUITE 301, FORT LAUDERDALE, FL 33316-2547
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR65
FL
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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