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Kendall Prosthetics & Orthotics, Inc.
Prosthetic/Orthotic Supplier in Melbourne, Florida
NPI 1578699393

Kendall Prosthetics & Orthotics, Inc. is a Prosthetic/Orthotic Supplier based in Melbourne, FL. Kendall Prosthetics & Orthotics, Inc. practices in Melbourne, FL. The NPI Number for Kendall Prosthetics & Orthotics, Inc. is 1578699393 and holds a License No. POR5 (Florida).

The current practice location address for Kendall Prosthetics & Orthotics, Inc. is 3012 Lake Washington Rd, Melbourne, FL and can be reached out via phone at 321-622-5140 and via fax at 616-825-6139.

Location: 3012 Lake Washington Rd, Melbourne, FL, 32934-7613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578699393
Provider Name
Kendall Prosthetics & Orthotics, Inc.
Credential
Provider Entity Type
Organization
Address
3012 Lake Washington Rd, Melbourne, FL, 32934-7613
Phone Number
321-622-5140
Fax Number
616-825-6139
Provider Enumeration Date
02/26/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
226307 01 FL AVMED HEALTH PLANS
951163600 05 FL
169843900 01 FL U.S. DEPT. OF LABOR OWCP
M2289 01 FL BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
3012 Lake Washington Rd
City
Melbourne
State
Florida
Zip
32934-7613
Phone Number
321-622-5140
Fax Number
616-825-6139
person
Provider Business Mailing Address Details
Address
3012 Lake Washington Rd
City
Melbourne
State
Florida
Zip
32934-7613
Phone Number
321-622-5140
Fax Number
616-825-6139
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
POR5 (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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