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Organization

LA FUENTE SPECIALTY PROSTHETICS,LLC

Active
Parent organization
LA FUENTE SPECIALTY PROSTHETICS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LA FUENTE SPECIALTY PROSTHETICS, LLC
Authorized official
HENRY LAFUENTE (OCUARIST/OWNER)
(405) 620-0880
Entity
Organization

Contact information

Practice address
214 E LUMSDEN RD, BRANDON, FL 33511-6440
(405) 620-0880
Mailing address
214 E LUMSDEN RD, BRANDON, FL 33511-6440
(405) 620-0880

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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