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Nls Family Enterprise, Inc.
Prosthetic/Orthotic Supplier in Jacksonville, Florida
NPI 1871651620

Nls Family Enterprise, Inc. is a Prosthetic/Orthotic Supplier based in Jacksonville, FL. Nls Family Enterprise, Inc. practices in Jacksonville, FL. The NPI Number for Nls Family Enterprise, Inc. is 1871651620 and holds a License No. PED 94 (Florida).

The current practice location address for Nls Family Enterprise, Inc. is 4372 Southside Blvd, Jacksonville, FL and can be reached out via phone at 904-646-4640 and via fax at 904-646-4631.

Location: 4372 Southside Blvd, Jacksonville, FL, 32216-8501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871651620
Provider Name
Nls Family Enterprise, Inc.
Credential
Provider Entity Type
Organization
Address
4372 Southside Blvd, Jacksonville, FL, 32216-8501
Phone Number
904-646-4640
Fax Number
904-646-4631
Provider Enumeration Date
12/05/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
M2790 01 FL BLUE CROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
4372 Southside Blvd
City
Jacksonville
State
Florida
Zip
32216-8501
Phone Number
904-646-4640
Fax Number
904-646-4631
person
Provider Business Mailing Address Details
Address
4372 Southside Blvd
City
Jacksonville
State
Florida
Zip
32216-8501
Phone Number
904-646-4640
Fax Number
904-646-4631
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PED 94 (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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