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SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER PC NPI 1780281741


NPI Information

NPI: 1780281741
Provider Name: SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC

Doing Business As: SOUTHLAKE PROSTHETICS AND ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4524 SOUTHLAKE PKWY STE 26
HOOVER, AL
ZIP 35244
Phone: (205) 985-4111
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SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC is a prosthetic orthotic supplier in Hoover, AL. 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. SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC NPI is 1780281741. The provider is registered as an organization entity type.
The provider Is Doing Business As Southlake Prosthetics And Orthotics.

The provider's business location address is:

4524 SOUTHLAKE PKWY STE 26
HOOVER, AL
ZIP 35244-272
Phone: (205) 985-4111
Fax: (888) 435-9974

The provider's authorized official is Robert Crabtree .
The authorized official title is Administrator and has the following contact phone number (205) 985-4111.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 2/10/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.