Creative Orthotic & Prosthetic Services

NPI #1770763179 in Crestview, Florida

Provider Information

NPI Number
1770763179
Entity Type
Organization
Organization Name
Creative Orthotic & Prosthetic Services
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 14, 2007
Last Updated
May 31, 2012

Practice Location

Address
120 E REDSTONE AVE
Address 2
# C
State
Florida
ZIP Code
32539-5370
Phone
(850) 398-8159

Authorized Official

Name
CHARLES SEDILLO MATA, C.O.
Title
PRESIDENT
Phone
(850) 398-8159

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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