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Tia Dwana Collection Llc
Prosthetic/Orthotic Supplier in Jacksonville, Florida
NPI 1538756630

Tia Dwana Collection Llc is a Prosthetic/Orthotic Supplier based in Jacksonville, FL. Tia Dwana Collection Llc practices in Jacksonville, FL. The NPI Number for Tia Dwana Collection Llc is 1538756630 and holds a License No. (Florida).

The current practice location address for Tia Dwana Collection Llc is 7643 Gate Pkwy Ste 104-333, Jacksonville, FL and can be reached out via phone at 904-532-3475 and via fax at 904-977-8900.

Location: 7643 Gate Pkwy Ste 104-333, Jacksonville, FL, 32256-2893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538756630
Provider Name
Tia Dwana Collection Llc
Credential
Provider Entity Type
Organization
Address
7643 Gate Pkwy Ste 104-333, Jacksonville, FL, 32256-2893
Phone Number
904-532-3475
Fax Number
904-977-8900
Provider Enumeration Date
12/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7643 Gate Pkwy Ste 104-333
City
Jacksonville
State
Florida
Zip
32256-2893
Phone Number
904-532-3475
Fax Number
904-977-8900
person
Provider Business Mailing Address Details
Address
7643 Gate Pkwy Ste 104-333
City
Jacksonville
State
Florida
Zip
32256-2893
Phone Number
904-532-3475
Fax Number
904-977-8900
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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