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NPI Provider: 1346245081
Contact Name: Cottrill E Glenn
Position: President/owner
Phone: (850) 863-5959
Bay Prosthetic Center Information:
Bay Prosthetic Center organization have npi 1346245081, taxonomy code is 335E00000X with license number is POR31 in . This Business address located in 930 Mar Walt Dr, Fort Walton Beach, FL 32547 Florida. Get directions of Bay Prosthetic Center.
Practice Location
Address: 930 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: (850) 863-5959
Business Location
Address: 930 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: (850) 863-5959
Fax: (850) 863-5977
Taxonomy
Taxonomy Code: 335E00000X
License Number: POR31
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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