PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC is a prosthetic orthotic supplier in Tampa, 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. PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST, LLC NPI is 1386929347. The provider is registered as an organization entity type.
The provider's business location address is:
12502 USF PINE DR
SUITE 100
TAMPA, FL
ZIP 33612-411
Phone: (813) 975-7139
Fax: (813) 631-7160
The provider's authorized official is Ronald Gingras .
The authorized official title is Director Orthotics Prosthetics and has the following contact phone number (813) 975-7116.
The CLIA number assigned to this NPI record is 10D2047752 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/20/2011 and was last updated on 4/22/2024.