Bayside Orthotics LLC
NPI #1629504923 in Crystal River, Florida
Provider Information
- NPI Number
- 1629504923
- Entity Type
- Organization
- Organization Name
- Bayside Orthotics LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 4, 2017
- Last Updated
- May 4, 2017
Practice Location
- Address
- 11671 W COQUINA CT
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-9222
- Phone
- (954) 778-4615
Authorized Official
- Name
- JEROD ROMANIK
- Title
- MGR
- Phone
- (954) 778-4615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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