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General NPI Number Information
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NPI Number | 1104099845
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Entity Type | Organization
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Legal Business Name | ORTHO CARE RX CORP
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 1707 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2728
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Country | US
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Telephone | 305-859-2808
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Fax | 305-859-2810
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Provider Business Mailing Address
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Address Line | 1707 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2728
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Country | US
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Telephone | 305-859-2808
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Fax | 305-859-2810
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEDRO L GONZALEZ
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Credential |
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Telephone | 305-200-7476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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