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Pediatric Orthotic And Prosthetic Services - Southeast, Llc
Prosthetic/Orthotic Supplier in Tampa, Florida
NPI 1386929347

Pediatric Orthotic And Prosthetic Services - Southeast, Llc is a Prosthetic/Orthotic Supplier based in Atlanta, FL. Pediatric Orthotic And Prosthetic Services - Southeast, Llc practices in Tampa, FL. The NPI Number for Pediatric Orthotic And Prosthetic Services - Southeast, Llc is 1386929347 and holds a License No. 4184 (Florida).

The current practice location address for Pediatric Orthotic And Prosthetic Services - Southeast, Llc is 12502 Usf Pine Dr, Tampa, FL and can be reached out via phone at 813-975-7139 and via fax at 813-631-7160.

Location: 12502 Usf Pine Dr, Tampa, FL, 30394-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386929347
Provider Name
Pediatric Orthotic And Prosthetic Services - Southeast, Llc
Credential
Provider Entity Type
Organization
Address
12502 Usf Pine Dr, Tampa, FL, 30394-7109
Phone Number
813-975-7139
Fax Number
813-631-7160
Provider Enumeration Date
10/20/2011
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004604300 05 FL
institution
Provider Business Practice Location Address Details
Address
12502 Usf Pine Dr
City
Tampa
State
Florida
Zip
33612-9411
Phone Number
813-975-7139
Fax Number
813-631-7160
person
Provider Business Mailing Address Details
Address
12502 Usf Pine Dr
City
Tampa
State
Florida
Zip
33612-9411
Phone Number
813-975-7139
Fax Number
813-631-7160
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
4184 (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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