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Organization

BIG TIME BRACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANCISCO A RODRIGUEZ II STOCK HOLDER (STOCKHOLDER)
(919) 809-3808
Entity
Organization

Contact information

Practice address
747 PONCE DE LEON BLVD, SUITE 300, CORAL GABLES, FL 33134
(919) 809-3808
(305) 885-0544
Mailing address
747 PONCE DE LEON BLVD, SUITE 300, CORAL GABLES, FL 33134-2049
(919) 809-3808
(305) 885-0544

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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