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 (OWNER PRESIDENT)
(772) 337-7378
Entity
Organization
Contact information
Practice address
1701 SE HILLMOOR DR, C13, PORT ST LUCIE, FL 34952-7552
(772) 337-7378
(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
08/12/2006
Last updated
07/21/2022
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