Organization
LAWALL P & O OF FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE T LAWALL CPO (PRESIDENT)
(215) 338-6611
Entity
Organization
Contact information
Practice address
6535 NEMOURS PARKWAY, 5TH FLOOR, ORLANDO, FL 32827-7402
(407) 855-4801
(407) 855-4802
Mailing address
3000 CABOT BLVD W, LANGHORNE, PA 19047-1800
(215) 338-6611
(215) 338-9579
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006699600
—
FL
Enumeration date
09/24/2012
Last updated
06/15/2023
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