Organization
BERRY ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROBERT BERRY LPO (PRESIDENT)
(352) 253-9255
Entity
Organization
Contact information
Practice address
405 E ALFRED ST, TAVARES, FL 32778-3301
(352) 253-9255
(352) 253-9045
Mailing address
405 E ALFRED ST, TAVARES, FL 32778-3301
(352) 253-9255
(352) 253-9045
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT3, PRO37
FL
Other
Enumeration date
03/16/2007
Last updated
10/28/2013
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