Dynamic Disruption LLC

NPI #1619477130 in Altoona, Florida

Provider Information

NPI Number
1619477130
Entity Type
Organization
Organization Name
Dynamic Disruption LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 21, 2018
Last Updated
Feb 21, 2018

Practice Location

Address
18200 RAVENSWOOD RD
State
Florida
ZIP Code
32702-9724
Phone
(302) 364-5459

Authorized Official

Name
MR. CHRISTOPHER ROBERT CLINE, JD LLM
Title
OWNER / MANAGING MEMBER
Phone
(302) 364-5459

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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