Organization
FAATZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE M WOOLEY PROSTHETIST (PRESIDENT/OWNER)
(863) 682-1040
Entity
Organization
Contact information
Practice address
210 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 291-3000
(863) 293-7004
Mailing address
210 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 291-3000
(863) 293-7004
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO36,PRO60,ORT91
FL
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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