Organization
PROSTHETICS LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO LUIS LLANES L.P.O. (PRESIDENT)
(305) 250-9900
Entity
Organization
Contact information
Practice address
2236 CORAL WAY, CORAL GABLES, FL 33145-3509
(305) 250-9900
(305) 250-9904
Mailing address
2236 CORAL WAY, CORAL GABLES, FL 33145-3509
(305) 250-9900
(305) 250-9904
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR100
FL
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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