Organization
PERFORMANCE PROSTHETICS & ORTHOTICS, PL
Active
Parent organization
PERFORMANCE PROSTHETICS & ORTHOTICS, PL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFORMANCE PROSTHETICS & ORTHOTICS, PL
Authorized official
SCOTT DAVID COOPER (OFFICE MANAGER)
(850) 607-6126
Entity
Organization
Contact information
Practice address
15467 ALABAMA 59, UNIT 1, FOLEY, AL 36567-4043
(850) 607-6126
(850) 607-6674
Mailing address
3010 N 12TH AVE, PENSACOLA, FL 32503-4067
(850) 607-6126
(850) 607-6674
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR145
FL
Other
Enumeration date
10/11/2011
Last updated
03/19/2024
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