Organization
FLORIDA BRACE & LIMB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS YASOVA (PRESIDENT/OWNER)
(727) 786-0880
Entity
Organization
Contact information
Practice address
2445 TAMPA RD STE H, PALM HARBOR, FL 34683-5849
(727) 786-0880
(727) 786-0882
Mailing address
2445 TAMPA RD STE H, PALM HARBOR, FL 34683-5849
(727) 786-0880
(727) 786-0882
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR57
FL
224P00000X
Prosthetist
Primary
POR57
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9520694
—
FL
Enumeration date
06/28/2006
Last updated
07/07/2011
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