Organization
W R ROSEN INC
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
900 NW 13TH ST, STE 105, BOCA RATON, FL 33486-2335
(561) 409-3685
(954) 447-7782
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
PED27
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR39
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017047100
—
FL
Enumeration date
04/23/2013
Last updated
04/02/2020
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