Bay Prosthetic Center
NPI #1346245081 in Fort Walton Beach, Florida
Provider Information
- NPI Number
- 1346245081
- Entity Type
- Organization
- Organization Name
- Bay Prosthetic Center
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 17, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 930 MAR WALT DR
- Address 2
- STE D
- State
- Florida
- ZIP Code
- 32547-6706
- Phone
- (850) 863-5959
Authorized Official
- Name
- GLENN E COTTRILL II, C.P.O.
- Title
- PRESIDENT/OWNER
- Phone
- (850) 863-5959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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