Organization
RELIABLE PROSTHETICS AND ORTHOTICS LLC
Active
Parent organization
RELIABLE PROSTHETICS AND ORTHOTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIABLE PROSTHETICS AND ORTHOTICS
Authorized official
MR. NICK M FRISOLI (OPERATIONS MGR.)
(252) 638-8989
Entity
Organization
Contact information
Practice address
12 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-9002
(910) 353-9003
Mailing address
12 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-9002
(910) 353-9003
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5686710001
—
NC
Enumeration date
02/13/2019
Last updated
04/21/2020
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