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M & M REHAB INC NPI 1578565842


NPI Information

NPI: 1578565842
Provider Name: M & M REHAB INC

Doing Business As: MID-FLORIDA PROSTHETICS & ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
6608 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-3399
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M & M REHAB INC is a prosthetic orthotic supplier in Gainesville, FL. The provider is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. M & M REHAB INC NPI is 1578565842. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid-florida Prosthetics & Orthotics.

The provider's business location address is:

6608 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605-207
Phone: (352) 331-3399
Fax: (352) 331-9927

The provider's authorized official is Victor Bustamante .
The authorized official title is Owner and has the following contact phone number (352) 331-3399.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 8/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierORT 62FLORIDANo
2335E00000XProsthetic/Orthotic SupplierPOR 89FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021922300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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