Organization
IRENE M BOYD DBA/TRI-COUNTY ORTHOTIC PROSTHETIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE M. BOYD (OWNER)
(352) 493-0360
Entity
Organization
Contact information
Practice address
1411 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-0360
(352) 493-0369
Mailing address
1411 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-0360
(352) 493-0369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001907500
—
FL
Enumeration date
06/08/2009
Last updated
01/23/2019
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