Organization
FOURROUX PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. KEITH WATSON CPO (OWNER / PRESIDENT)
(256) 534-8672
Entity
Organization
Contact information
Practice address
6706 N 9TH AVE STE E2, PENSACOLA, FL 32504-7398
(850) 741-4340
(800) 963-5010
Mailing address
2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
(256) 534-8672
(800) 963-5010
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
12/10/2020
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