Podortis Corporation
NPI #1891932661 in West Miami, Florida
Provider Information
- NPI Number
- 1891932661
- Entity Type
- Organization
- Organization Name
- Podortis Corporation
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 14, 2009
- Last Updated
- Oct 30, 2012
Practice Location
- Address
- 5841 SW 8TH ST
- City
- West Miami
- State
- Florida
- ZIP Code
- 33144-5035
- Phone
- (305) 446-2995
Authorized Official
- Name
- LUIS CARBAJAL, LPED, LOF,CPOA
- Title
- PRESIDENT/OWNER
- Phone
- (305) 446-2995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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