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Kidder Orthopedic Laboratories Inc
Prosthetic/Orthotic Supplier in Crystal River, Florida
NPI 1376542993

Kidder Orthopedic Laboratories Inc is a Prosthetic/Orthotic Supplier based in Crystal River, FL. Kidder Orthopedic Laboratories Inc practices in Crystal River, FL. The NPI Number for Kidder Orthopedic Laboratories Inc is 1376542993 and holds a License No. POR20 (Florida).

The current practice location address for Kidder Orthopedic Laboratories Inc is 5676 W Gulf To Lake Hwy, Crystal River, FL and can be reached out via phone at 352-795-5556 and via fax at 352-795-5218.

Location: 5676 W Gulf To Lake Hwy, Crystal River, FL, 34429-7555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376542993
Provider Name
Kidder Orthopedic Laboratories Inc
Credential
Provider Entity Type
Organization
Address
5676 W Gulf To Lake Hwy, Crystal River, FL, 34429-7555
Phone Number
352-795-5556
Fax Number
352-795-5218
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950296300 05 FL
M2080 01 BCBS
institution
Provider Business Practice Location Address Details
Address
5676 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7555
Phone Number
352-795-5556
Fax Number
352-795-5218
person
Provider Business Mailing Address Details
Address
5676 W Gulf To Lake Hwy
City
Crystal River
State
Florida
Zip
34429-7555
Phone Number
352-795-5556
Fax Number
352-795-5218
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
POR20 (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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