Healthcare Provider Details

I. General information

NPI: 1508359191
Provider Name (Legal Business Name): MAKO MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 06/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N FEDERAL HWY STE 208
BOCA RATON FL
33431-7741
US

IV. Provider business mailing address

2200 N FEDERAL HWY STE 208
BOCA RATON FL
33431-7741
US

V. Phone/Fax

Practice location:
  • Phone: 561-609-2091
  • Fax: 561-609-4760
Mailing address:
  • Phone: 561-609-2091
  • Fax: 561-609-4760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KENN HAUPERT
Title or Position: CFO
Credential:
Phone: 561-305-4851