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Laquavian Eliacin
Prosthetic/Orthotic Supplier in Port St Lucie, Florida
NPI 1467068635

Laquavian Eliacin is a Prosthetic/Orthotic Supplier based in Port St Lucie, FL. Laquavian Eliacin practices in Port St Lucie, FL. The NPI Number for Laquavian Eliacin is 1467068635 and holds a License No. (Florida).

The current practice location address for Laquavian Eliacin is 1738 Se Port St Lucie Blvd, Port St Lucie, FL and can be reached out via phone at 772-200-0870.

Location: 1738 Se Port St Lucie Blvd, Port St Lucie, FL, 34952-5467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467068635
Provider Name
Laquavian Eliacin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1738 Se Port St Lucie Blvd, Port St Lucie, FL, 34952-5467
Phone Number
772-200-0870
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1738 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5467
Phone Number
772-200-0870
Fax Number
person
Provider Business Mailing Address Details
Address
1738 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5467
Phone Number
772-200-0870
Fax Number
person
Provider's Taxonomy Details 1
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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