FLORIDA O & P SERVICES INC NPI 1093746497

NPI Information

  • NPI: 1093746497
  • Provider Name: FLORIDA O & P SERVICES INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • CLIA Number: 10D0884169
  • Address: 1797 OLD MOULTRIE RD
    SUITE 110
    ST AUGUSTINE, FL
    ZIP 32084
  • Phone: (904) 826-0027

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NPI Details

FLORIDA O & P SERVICES INC is a prosthetic orthotic supplier in St Augustine, 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. FLORIDA O & P SERVICES INC NPI is 1093746497. The provider is registered as an organization entity type.

The provider's business location address is:

1797 OLD MOULTRIE RD
SUITE 110
ST AUGUSTINE, FL
ZIP 32084-171
Phone: (904) 826-0027
Fax: (904) 808-9973

The provider's authorized official is Matthew Priestly Bailey .
The authorized official title is President and has the following contact phone number (904) 737-7755.

The CLIA number assigned to this NPI record is 10D0884169 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/12/2020.

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 SupplierPOR46FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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