TAMPA BAY ORTHOPAEDIC DESIGNS INC NPI 1629061007

NPI Information

  • NPI: 1629061007
  • Provider Name: TAMPA BAY ORTHOPAEDIC DESIGNS INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 812 W MARTIN LUTHER KING BLVD
    STE 100
    TAMPA, FL
    ZIP 33603
  • Phone: (813) 224-0525

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NPI Details

TAMPA BAY ORTHOPAEDIC DESIGNS 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. TAMPA BAY ORTHOPAEDIC DESIGNS INC NPI is 1629061007. The provider is registered as an organization entity type.

The provider's business location address is:

812 W MARTIN LUTHER KING BLVD
STE 100
TAMPA, FL
ZIP 33603-338
Phone: (813) 224-0525
Fax: (813) 224-0622

The provider's authorized official is Olaf Mickle Holm .
The authorized official title is Owner/president and has the following contact phone number (813) 224-0525.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 12/18/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPOR124FLORIDAYes

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
1005843900MEDICAIDFLORIDA

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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