Organization
FOURROUX PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W KEITH WATSON CPO (OWNER, PRESIDENT)
(256) 534-8672
Entity
Organization
Contact information
Practice address
5453 N 59TH ST, TAMPA, FL 33610-2011
(813) 374-6930
(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
09/16/2020
Last updated
11/13/2020
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