Organization
FLORIDA BRACE & LIMB INC
Active
Organization
FLORIDA BRACE & LIMB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS M YASOVA (PRESIDENT)
(727) 786-0880
Entity
Organization
Contact information
Practice address
6219 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 548-1808
(727) 548-1945
Mailing address
2445 TAMPA RD, STE H, PALM HARBOR, FL 34683-5849
(727) 786-0880
(727) 786-0882
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
POR 57
FL
224P00000X
Prosthetist
POR 57
FL
Other
Enumeration date
08/30/2006
Last updated
02/19/2008
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