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FLORIDA PEDORTHICS INCORPORATED NPI 1659426583


NPI Information

NPI: 1659426583
Provider Name: FLORIDA PEDORTHICS INCORPORATED
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1403 W BOYNTON BEACH BLVD
SUITE 14-15
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 734-0032
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FLORIDA PEDORTHICS INCORPORATED is a customized equipment durable medical equipment medical supplies in Boynton Beach, FL. FLORIDA PEDORTHICS INCORPORATED NPI is 1659426583. The provider is registered as an organization entity type.

The provider's business location address is:

1403 W BOYNTON BEACH BLVD
SUITE 14-15
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 734-0032
Fax: (561) 734-5758

The provider's authorized official is Joseph F Larocca .
The authorized official title is President and has the following contact phone number (561) 734-0032.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/20/2016.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentPED20FLORIDAYes

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
1017110400MEDICAIDFLORIDA
21042350001MEDICARE NSC

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: 11/14/2023

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