Organization
PREMIER ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN STEWARD (CO-OWNER, MANAGER)
(321) 704-0822
Entity
Organization
Contact information
Practice address
2202 BRYAN ST, MELBOURNE, FL 32901-5958
(321) 372-5102
(321) 372-5106
Mailing address
2202 BRYAN ST, MELBOURNE, FL 32901-5958
(321) 372-5102
(321) 372-5106
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
01/08/2019
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