Orthotic & Prosthetic Clinic Inc in Port St Lucie - Prosthetic/orthotic Supplier
Orthotic & Prosthetic Clinic Inc - NPI 1396757175
Orthotic & Prosthetic Clinic Inc is a Prosthetic/orthotic Supplier in Port St Lucie, Florida. Orthotic & Prosthetic Clinic Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Orthotic & Prosthetic Clinic Inc is 1396757175. The last update date is 2022-07-21.
Orthotic & Prosthetic Clinic Inc's current location address is 1701 Se Hillmoor Dr, Port St Lucie, Florida. You can contact this provider via phone number 7723377378 and fax number 7723371742. The mailing address for Orthotic & Prosthetic Clinic Inc is 1701 Se Hillmoor Dr, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orthotic & Prosthetic Clinic Inc |
|---|---|
| Address | 1701 Se Hillmoor Dr, Port St Lucie, Florida |
| Phone Number | 7723377378 |
| Fax Number | 7723371742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Fenton R James |
| Credentials | CPO |
| Telephone Number | 7723377378 |
NPI Number Detail
| NPI Number | 1396757175 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1701 Se Hillmoor Dr |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349527552 |
| Phone Number | 7723377378 |
| Fax Number | 7723371742 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the unique identification code assigned to Orthotic & Prosthetic Clinic Inc by the Centers for Medicare & Medicaid Services?
The Orthotic & Prosthetic Clinic Inc has been issued the NPI (National Provider Identifier) 1396757175. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Orthotic & Prosthetic Clinic Inc is physically located?
The Orthotic & Prosthetic Clinic Inc is situated at the following address: 1701 Se Hillmoor Dr, Port St Lucie, FL 349527552.
What is the Orthotic & Prosthetic Clinic Inc's specialty and taxonomy code?
The Orthotic & Prosthetic Clinic Inc's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Orthotic & Prosthetic Clinic Inc receive the assignment of its 1396757175 from the Centers for Medicare & Medicaid Services?
The Orthotic & Prosthetic Clinic Inc was issued its 1396757175 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the Orthotic & Prosthetic Clinic Inc's details last updated?
The information pertaining to the Orthotic & Prosthetic Clinic Inc, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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