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EXPRESS ORTHOTICS & PROSTHETICS INC. NPI 1396135315


NPI Information

NPI: 1396135315
Provider Name: EXPRESS ORTHOTICS & PROSTHETICS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3603 W FLORA ST
TAMPA, FL
ZIP 33614
Phone: (813) 605-4610
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EXPRESS ORTHOTICS & PROSTHETICS, INC. 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. EXPRESS ORTHOTICS & PROSTHETICS, INC. NPI is 1396135315. The provider is registered as an organization entity type.

The provider's business location address is:

3603 W FLORA ST
TAMPA, FL
ZIP 33614-025
Phone: (813) 605-4610
Fax: (813) 605-4612

The provider's authorized official is Shane Evans Wakefield .
The authorized official title is Owner and has the following contact phone number (813) 605-4610.

The enumeration date for this NPI number is 1/28/2015 and was last updated on 7/27/2015.


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 SupplierPOR249FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17359220001MEDICARE NSCFLORIDA

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: 4/28/2024

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