Organization
ACTIVE ORTHOTICSPROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY DEAN CLEALL C.P. (PRESIDENT)
(941) 925-2720
Entity
Organization
Contact information
Practice address
3801 BEE RIDGE RD, SUITE 4, SARASOTA, FL 34233-1166
(941) 925-2720
(941) 925-2294
Mailing address
3801 BEE RIDGE RD, SUITE 4, SARASOTA, FL 34233-1166
(941) 925-2720
(941) 925-2294
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP2482
FL
Other
Enumeration date
04/11/2007
Last updated
10/07/2011
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