TAMPA BAY ARTIFICIAL LIMBS INC. NPI 1679519243

NPI Information

NPI: 1679519243
Provider Name: TAMPA BAY ARTIFICIAL LIMBS, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Doing Business As: MANIFEST PROSTHETICS & ORTHOTICS
Address: 5109 N ARMENIA AVE
TAMPA, FL
ZIP 33603
Phone: (813) 801-9110

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NPI Details

TAMPA BAY ARTIFICIAL LIMBS, 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 ARTIFICIAL LIMBS, INC. NPI is 1679519243. The provider is registered as an organization entity type.
The provider Is Doing Business As Manifest Prosthetics & Orthotics.

The provider's business location address is:

5109 N ARMENIA AVE
TAMPA, FL
ZIP 33603-405
Phone: (813) 801-9110
Fax: (813) 801-9048

The provider's authorized official is Maria Paula Gomez .
The authorized official title is Ceo and has the following contact phone number (813) 801-9110.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 1/10/2025.

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
1	335E00000X	Prosthetic/Orthotic Supplier		PRO 25	FLORIDA	Yes

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
1	290808	OTHER	FLORIDA	STAYWELL
2	R9100	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD FL
3	120716100	MEDICAID	FLORIDA
4	7376145	OTHER	FLORIDA	AETNA EPDB PIN #
5	V516P-7063	OTHER	FLORIDA	TAMPA VA VENDOR #

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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