Organization · Type 2 NPI

Southlake Orthopaedics Sports Medicine and Spine Center, PC

Prosthetic/Orthotic Supplier · Hoover, AL

NPI number 1780281741 Active

Practice location

4524 Southlake Pkwy Ste 26
Hoover, AL 35244-3272

Call (205) 985-4111 Map

Fax (888) 435-9974

Mailing address

4517 Southlake Pkwy
Hoover, AL 35244-3280

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
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.

2 other providers at this address

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NPI record

NPI: 1780281741
Entity type: Organization (Type 2)
Issued: Oct 2, 2020
Last updated: Feb 10, 2022
Status: Active
Subpart: Yes of Southlake Orthopaedics Sports Medicine and Spine Center, PC

Other names

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Southlake Prosthetics and Orthotics · doing business as
Southlake Prosthetics and Orthotics · doing business as

Authorized official

Mr. Robert Crabtree
Administrator
(205) 985-4111

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780281741

Southlake Orthopaedics Sports Medicine and Spine Center, PC's National Provider Identifier is 1780281741, issued on Oct 2, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Hoover, AL. The record was last updated on Feb 10, 2022.