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SOUTH BEACH ORTHOTICS & PROSTHETICS INC NPI 1326302928


NPI Information

NPI: 1326302928
Provider Name: SOUTH BEACH ORTHOTICS & PROSTHETICS, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4751 W 4TH AVE
HIALEAH, FL
ZIP 33012
Phone: (786) 577-0283
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SOUTH BEACH ORTHOTICS & PROSTHETICS, INC is a prosthetic orthotic supplier in Hialeah, 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. SOUTH BEACH ORTHOTICS & PROSTHETICS, INC NPI is 1326302928. The provider is registered as an organization entity type.

The provider's business location address is:

4751 W 4TH AVE
HIALEAH, FL
ZIP 33012-938
Phone: (786) 577-0283
Fax: (305) 675-3706

The provider's authorized official is Mark Selleck .
The authorized official title is Owner / President and has the following contact phone number (561) 394-4200.

The enumeration date for this NPI number is 6/28/2012 and was last updated on 3/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

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: 11/14/2023

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