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Organization

MARTIN PROSTHETICS & ORTHOTICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD MARTIN CPO LPO (PROSTHEIST ORTHOTIST OWNER)
(954) 722-1995
Entity
Organization

Contact information

Practice address
5950 HIGH STREET, NEW PORT RICHEY, FL 34652
(727) 845-1995
(727) 845-1994
Mailing address
5950 HIGH STREET, NEW PORT RICHEY, FL 34652
(727) 845-1995
(727) 845-1994

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR38
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028204900
FL
Enumeration date
04/18/2006
Last updated
10/26/2010
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