Organization
ISLAND BRACING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W SMITH III EMT (OWNER)
(321) 419-4748
Entity
Organization
Contact information
Practice address
220 N SYKES CREEK PKWY STE 200, MERRITT ISLAND, FL 32953-3490
(321) 419-4748
Mailing address
220 N SYKES CREEK PKWY STE 200, MERRITT ISLAND, FL 32953-3490
(321) 419-4748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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