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Gulf Coast Limb & Brace
Prosthetic/Orthotic Supplier in Gulfport, Mississippi
NPI 1073535860

Gulf Coast Limb & Brace is a Prosthetic/Orthotic Supplier based in Gulfport, MS. Gulf Coast Limb & Brace practices in Gulfport, MS. The NPI Number for Gulf Coast Limb & Brace is 1073535860 and holds a License No. (Mississippi).

The current practice location address for Gulf Coast Limb & Brace is 3506 Washington Ave Ste D, Gulfport, MS and can be reached out via phone at 228-864-4512 and via fax at 228-864-5339.

Location: 3506 Washington Ave Ste D, Gulfport, MS, 39507-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073535860
Provider Name
Gulf Coast Limb & Brace
Credential
Provider Entity Type
Organization
Address
3506 Washington Ave Ste D, Gulfport, MS, 39507-3103
Phone Number
228-864-4512
Fax Number
228-864-5339
Provider Enumeration Date
07/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00011709 01 MS BLUE CROSS
00040133 05 MS
institution
Provider Business Practice Location Address Details
Address
3506 Washington Ave Ste D
City
Gulfport
State
Mississippi
Zip
39507-3102
Phone Number
228-864-4512
Fax Number
228-864-5339
person
Provider Business Mailing Address Details
Address
3506 Washington Ave Ste D
City
Gulfport
State
Mississippi
Zip
39507-3102
Phone Number
228-864-4512
Fax Number
228-864-5339
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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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