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Organization

ORTHOTIC & PROSTHETIC CLINIC INC

Active
Other names
Fenton Prosthetics & Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES R FENTON CPO LPO (OWNER PRESIDENT)
(772) 337-7378
Entity
Organization

Contact information

Practice address
921 E OCEAN BLVD, #4, STUART, FL 34994
(772) 781-8702
(772) 337-1742
Mailing address
1701 SE HILLMOOR DR, C13, PORT ST LUCIE, FL 34952-7552
(772) 337-7378
(772) 337-1742

Taxonomy

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

Other

Enumeration date
11/08/2006
Last updated
07/21/2022
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