SPACE COAST PROSTHETICS AND ORTHOTICS INC. NPI 1649664251

NPI Information

  • NPI: 1649664251
  • Provider Name: SPACE COAST PROSTHETICS AND ORTHOTICS, INC.
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Organization
  • Address: 590 SOLUTIONS WAY STE 100
    ROCKLEDGE, FL
    ZIP 32955
  • Phone: (321) 877-4732

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NPI Details

SPACE COAST PROSTHETICS AND ORTHOTICS, INC. is a prosthetist in Rockledge, FL. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. SPACE COAST PROSTHETICS AND ORTHOTICS, INC. NPI is 1649664251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

590 SOLUTIONS WAY STE 100
ROCKLEDGE, FL
ZIP 32955-623
Phone: (321) 877-4732
Fax: (321) 877-4735

The provider's authorized official is Michael Pono Mcdowell .
The authorized official title is Vice President/co-owner and has the following contact phone number (321) 877-4732.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 9/17/2021.

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
1222Z00000XOrthotistPOR 134FLORIDANo
2224P00000XProsthetistPOR 134FLORIDAYes

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
115382200MEDICAIDFLORIDA

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: 3/30/2025

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