Organization · Type 2 NPI

Concourse Orthotic and Prosthetic Lab

Customized Equipment (DME) · Hialeah, FL

NPI number 1114930765 Active

Practice location

3750 W 16th Ave, Suite 404
Hialeah, FL 33012-4654

Fax (305) 362-4424

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1114930765

Concourse Orthotic and Prosthetic Lab's National Provider Identifier is 1114930765, issued on Aug 14, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Hialeah, FL. The record was last updated on Aug 22, 2020.