NPI 1003117466

Bay Quality Prosthetics LLC

Organisation Customized Equipment (DME) Panama City, FL

Practice location

Address: 2195 Jenks Ave STE C STE D, Panama City, FL 32405-4683
Phone: (850) 522-5343
Fax: (850) 640-0901

Authorised official

Name: Glenn Cottrill
Title: Sole Mbr
Phone: (850) 522-5343

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence POR31 (FL)

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Registry record

NPI: 1003117466
Entity type: Organization
NPI issued: 16 Nov 2010
Record last updated: 29 Mar 2017

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.