SOUTHEAST ORTHOTICS INC (NPI# 1033130182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033130182 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ORTHOTICS INC |
| Practice Address |
17429 Bridge Hill Ct Suite D Tampa FL 33647-3467 |
| Mailing Address |
10506 Cory Lake Dr Tampa FL 33647-2710 |
| Practice Telephone | 8136152277 |
| Practice Fax Number | 8136323377 |
| Mailing Telephone | 8139869657 |
| Mailing Fax Number | 8139821034 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | BRENT E SQUIRES (OWNER) |
| Authorized Official Telephone | 8139869657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | M2602 | 01 |
| Street Address |
17429 BRIDGE HILL CT SUITE D |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508283045 | Caleb Frank | Chiropractor | 17429 Bridge Hill Ct, Tampa, FL 33647-3467 | 2014-03-21 |
| 1851624456 | North Tampa Spine & Joint Center | Chiropractor | 17429 Bridge Hill Ct, Tampa, FL 33647-3467 | 2009-09-14 |
| 1275765463 | Travis Robert Mohr | Chiropractor | 17429 Bridge Hill Ct, Tampa, FL 33647-3467 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1568072536 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 4315 W Gandy Blvd, Tampa, FL 33611-3405 | 2020-08-05 |
| 1215551239 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 7703 Anderson Rd, Tampa, FL 33634-3039 | 2020-06-05 |
| 1811517758 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1120 E Kennedy Blvd Unit 126, Tampa, FL 33602-3581 | 2020-04-21 |
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1659919942 | Axis Physical Therapy Inc | Durable Medical Equipment & Medical Supplies | 4013 N Armenia Ave, Tampa, FL 33607-1001 | 2019-12-17 |
| 1891333449 | Wound Pros Florida | Durable Medical Equipment & Medical Supplies | 15310 Amberly Drive, Suite 250, Tampa, FL 33647-1642 | 2019-12-13 |
| 1114562873 | Anova Healthcare LLC | Durable Medical Equipment & Medical Supplies | 10329 Cross Creek Blvd Ste N, Tampa, FL 33647-2994 | 2019-11-16 |
| 1033768205 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 4900 W Kennedy Blvd, Tampa, FL 33609-1802 | 2019-09-10 |
| 1699337980 | Natchez Healthcare LLC | Durable Medical Equipment & Medical Supplies | 7042 W Hillsborough Ave, Tampa, FL 33634-4948 | 2019-07-08 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.