Organization
NEWBOLD PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEMENT BUCKLEY NEWBOLD III C.P. (CERTIFIED PRACTIONER/OWNER)
(863) 293-5444
Entity
Organization
Contact information
Practice address
1547 7TH ST SW, WINTER HAVEN, FL 33880-3802
(863) 293-5444
(863) 293-5446
Mailing address
1547 7TH ST SW, WINTER HAVEN, FL 33880-3802
(863) 293-5444
(863) 293-5446
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO108
FL
Other
Enumeration date
01/07/2009
Last updated
07/08/2011
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