Organization
PROSTHETIC TECHNOLOGY CENTER
Active
Other names
TPC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LIBER MOSQUERA CASTRO CP/LP (LICENSED PROSTHETIST)
(562) 373-8667
Entity
Organization
Contact information
Practice address
1700 N DIXIE HWY STE 107, BOCA RATON, FL 33432-1807
(562) 373-8667
(855) 611-8511
Mailing address
1700 N DIXIE HWY STE 107, BOCA RATON, FL 33432-1807
(562) 373-8667
(855) 611-8511
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO 174
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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