Individual provider · Type 1 NPI

Imani Tate

Prosthetic/Orthotic Supplier · Tampa, FL

NPI number 1740098490 Active

Practice location

14501 Audubon Trce
Tampa, FL 33613-5410

Mailing address

19046 Bruce B Downs Blvd Ste B6
Tampa, FL 33647-2434

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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.

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About NPI 1740098490

Imani Tate's National Provider Identifier is 1740098490, issued on Dec 27, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tampa, FL. The record was last updated on Dec 27, 2024.