Organization
PREMIER ORTHOTICS & PROSTHETICS, LLC
Active
Parent organization
PREMIER ORTHOTICS & PROSTHETICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ORTHOTICS & PROSTHETICS, LLC
Authorized official
MRS. TERRY M BENTLEY OWNER (ADMINISTRATOR)
(321) 372-5102
Entity
Organization
Contact information
Practice address
197 BOUGAINVILLEA DR STE B, ROCKLEDGE, FL 32955-2402
(321) 372-5102
(321) 372-5106
Mailing address
2202 BRYAN ST, MELBOURNE, FL 32901-5958
(321) 372-5102
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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