Organization
M & M REHAB., INC.
Active
Other names
Mid-Florida Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR BUSTAMANTE CPO (PRESIDENT)
(352) 331-3399
Entity
Organization
Contact information
Practice address
601 E DIXIE AVE STE 806, LEESBURG, FL 34748-5994
(352) 435-4500
(352) 435-4561
Mailing address
2300 SE 17TH ST STE 401, OCALA, FL 34471-9140
(352) 352-3207
(352) 351-3267
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001641300
—
FL
Enumeration date
11/11/2008
Last updated
08/07/2020
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