EASTERN SHORES ORTHOPEDIC BRACE INC NPI 1114013281

NPI Information

  • NPI: 1114013281
  • Provider Name: EASTERN SHORES ORTHOPEDIC BRACE INC
  • Classification: Orthotist - 222Z00000X
  • Entity Type: Organization
  • Address: 533 N NOVA ROAD
    SUITE 104
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 427-5649

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NPI Details

EASTERN SHORES ORTHOPEDIC BRACE INC is an orthotist in Ormond Beach, FL. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. EASTERN SHORES ORTHOPEDIC BRACE INC NPI is 1114013281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

533 N NOVA ROAD
SUITE 104
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 427-5649
Fax: (386) 427-9018

The provider's authorized official is Mary M Mcdade .
The authorized official title is Owner and has the following contact phone number (386) 427-5649.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.

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
1222Z00000XOrthotistORT47FLORIDAYes

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
1M2556OTHERBCBS

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: 11/21/2025

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