Organization
M & M REHAB., INC.
Active
Other names
Mid-Florida Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR BUSTAMANTE (PRESIDENT)
(352) 331-3399
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441, BDG 300 STE 302, LADY LAKE, FL 32159-8908
(352) 351-3207
Mailing address
2300 SE 17TH ST STE 401, OCALA, FL 34471-9140
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
08/07/2020
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