TIA DWANA COLLECTION LLC is a prosthetic orthotic supplier in Jacksonville, 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. TIA DWANA COLLECTION LLC NPI is 1538756630. The provider is registered as an organization entity type.
The provider's business location address is:
7643 GATE PKWY STE 104-333
JACKSONVILLE, FL
ZIP 32256-893
Phone: (904) 532-3475
Fax: (904) 977-8900
The provider's authorized official is Timothea Whitehurst .
The authorized official title is Owner and has the following contact phone number (904) 532-3475.
The enumeration date for this NPI number is 12/23/2020 and was last updated on 1/18/2021.