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Bay Prosthetic Center
Prosthetic/Orthotic Supplier in Fort Walton Beach, Florida
NPI 1346245081

Bay Prosthetic Center is a Prosthetic/Orthotic Supplier based in Fort Walton Beach, FL. Bay Prosthetic Center practices in Fort Walton Beach, FL. The NPI Number for Bay Prosthetic Center is 1346245081 and holds a License No. POR31 (Florida).

The current practice location address for Bay Prosthetic Center is 930 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-863-5959 and via fax at 850-863-5977.

Location: 930 Mar Walt Dr, Fort Walton Beach, FL, 32547-6706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346245081
Provider Name
Bay Prosthetic Center
Credential
Provider Entity Type
Organization
Address
930 Mar Walt Dr, Fort Walton Beach, FL, 32547-6706
Phone Number
850-863-5959
Fax Number
850-863-5977
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M2541 01 FL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
930 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6706
Phone Number
850-863-5959
Fax Number
850-863-5977
person
Provider Business Mailing Address Details
Address
930 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6706
Phone Number
850-863-5959
Fax Number
850-863-5977
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
POR31 (Florida)
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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