NPI 1003022351

M & M Rehab INC

Organisation Prosthetic/Orthotic Supplier Lake City, FL

Practice location

Address: 221 SW Stonegate Ter STE 107, Lake City, FL 32024-3463
Phone: (386) 755-5774
Fax: (352) 331-9927
Mailing address: 6608 NW 9th Blvd, Gainesville, FL 32605-4207

Authorised official

Name: Victor Bustamante
Title: President
Phone: (352) 331-3399

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1003022351
Entity type: Organization
NPI issued: 15 May 2007
Record last updated: 7 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.