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W R ROSEN INC NPI 1912341744


NPI Information

NPI: 1912341744
Provider Name: W R ROSEN INC

Doing Business As: RESTORE POC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
900 NW 13TH ST
STE 105
BOCA RATON, FL
ZIP 33486
Phone: (561) 409-3685
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W R ROSEN INC is a prosthetic orthotic supplier in Boca Raton, 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. W R ROSEN INC NPI is 1912341744. The provider is registered as an organization entity type.
The provider Is Doing Business As Restore Poc.

The provider's business location address is:

900 NW 13TH ST
STE 105
BOCA RATON, FL
ZIP 33486-335
Phone: (561) 409-3685
Fax: (954) 447-7782

The provider's authorized official is Janet Woodall .
The authorized official title is Director, Contracting and has the following contact phone number (336) 397-0993.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 4/2/2020.


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 SupplierPED27FLORIDANo
2335E00000XProsthetic/Orthotic SupplierPOR39FLORIDAYes

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
1017047100MEDICAIDFLORIDA

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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