Organization · Type 2 NPI
Intercoastal Orthotics & Prosthetics, LLC
Prosthetic/Orthotic Supplier · Edgewater, FL
Practice location
1 Pelican Dr Ste A
Edgewater, FL 32141-4254
Fax (386) 409-9433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | POR 162 (FL) |
Prosthetic/Orthotic Supplier: 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.
About NPI 1083839062
Intercoastal Orthotics & Prosthetics, LLC's National Provider Identifier is 1083839062, issued on Apr 16, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Edgewater, FL. The record was last updated on Aug 3, 2009.