Organization
PENSACOLA ORTHOTIC & PROSTHETIC SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D DECKERT C.O. (PRESIDENT)
(850) 478-7676
Entity
Organization
Contact information
Practice address
5855 CREEK STATION DR, PENSACOLA, FL 32504-8626
(850) 478-7676
(850) 478-7699
Mailing address
5855 CREEK STATION DR, PENSACOLA, FL 32504-8626
(850) 478-7676
(850) 478-7699
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT17
FL
Other
Enumeration date
10/06/2010
Last updated
12/03/2010
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