Organization · NPI-2

South Browaid Brace INC

Prosthetic/Orthotic Supplier · Hollywood, FL

NPI number1881772853
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1881772853
Entity type
Organization (NPI-2)
Legal business name
South Browaid Brace INC
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier–FLYes

Practice location

3500 Tyler Street
Hollywood, FL 33021

Phone 954-922-9061 · Fax 954-458-8611

Mailing address

3500 Tyler Street
Hollywood, FL 33021

Phone 954-922-9061 · Fax 954-458-8611

Authorized official

Vincent T Petti
Owner
9549229061

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