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Professional Rehab Ortho Labs INC

Prosthetic/Orthotic Supplier in Tamarac, FL. Organization (NPI-2).

NPI number1720161193
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720161193
Entity type
Organization (NPI-2)
Legal business name
Professional Rehab Ortho Labs INC
Organization subpart
No
Enumeration date
Oct 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier335800000XFLYes

Other names

  • Prolabs O&P (Doing Business As)

Practice location

8401 W McNab Rd
Tamarac, FL 33321-3207

Phone 954-721-7301 · Fax 954-721-7453

Mailing address

8401 W McNab Rd
Tamarac, FL 33321-3207

Phone 954-721-7301 · Fax 954-721-7453

Authorized official

Jeffrey Wayne Hyman
Co-Owner
9547217301

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