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TAMPA BAY ARTIFICIAL LIMBS INC. NPI 1679519243


NPI Information

NPI: 1679519243
Provider Name: TAMPA BAY ARTIFICIAL LIMBS, INC.

Doing Business As: TAMPA BAY PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
5109 N ARMENIA AVE
TAMPA, FL
ZIP 33603
Phone: (813) 801-9110
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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 Tampa Bay Prosthetics.

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 Robert Maniere .
The authorized official title is President 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 4/14/2020.


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
1335E00000XProsthetic/Orthotic SupplierPRO 25FLORIDAYes

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
17376145OTHERFLORIDAAETNA EPDB PIN #
2025328600MEDICAIDFLORIDA
3V516P-7063OTHERFLORIDATAMPA VA VENDOR #
4R9100OTHERFLORIDABLUE CROSS BLUE SHIELD FL
5290808OTHERFLORIDASTAYWELL

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: 4/28/2024

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