Organization · Type 2 NPI

Pediatric Orthotic and Prosthetic Services - Southeast, LLC

Prosthetic/Orthotic Supplier · Tampa, FL

NPI number 1386929347 Active

Practice location

15511 N Florida Ave Ste 102
Tampa, FL 33613-1263

Call (813) 975-7139 Map

Fax (813) 631-7160

Mailing address

PO Box 947109
Atlanta, GA 30394-7109

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X4184 (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.

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About NPI 1386929347

Pediatric Orthotic and Prosthetic Services - Southeast, LLC's National Provider Identifier is 1386929347, issued on Oct 20, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 25, 2025.