Individual provider · Type 1 NPI
Laquavian Eliacin
Prosthetic/Orthotic Supplier · Port St. Lucie, FL
Practice location
1738 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5467
Other practice locations
- 1738 SE Port St Lucie Blvd, Port St. Lucie, FL 34952-5467 · (772) 200-0870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
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.
Other prosthetic/orthotic supplier providers in Port St. Lucie
About NPI 1467068635
Laquavian Eliacin's National Provider Identifier is 1467068635, issued on Sep 22, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 22, 2020.