Organization
DYNAMIC DISRUPTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ROBERT CLINE JD LLM (OWNER / MANAGING MEMBER)
(302) 364-5459
Entity
Organization
Contact information
Practice address
18200 RAVENSWOOD RD, ALTOONA, FL 32702-9724
(302) 364-5459
Mailing address
18200 RAVENSWOOD RD, ALTOONA, FL 32702-9724
(407) 446-9911
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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