Organization
JOHN IMM PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TOBY IMM B.C.O. (OCULARIST/OWNER)
(850) 380-8184
Entity
Organization
Contact information
Practice address
3 W GARDEN ST STE 404, PENSACOLA, FL 32502-5633
(850) 380-8184
(850) 434-1830
Mailing address
5593 STEWART ST, MILTON, FL 32570-4344
(850) 380-8184
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
05/07/2019
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