ORTHOTIC & PROSTHETIC CENTERS, INC. (NPI# 1376039032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376039032 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Other Organization Name | ORTHOTIC & PROSTHETIC CENTER OF LAKELAND |
| Practice Address |
2316 Lakeland Hills Blvd Lakeland FL 33805-2910 |
| Mailing Address |
3611 5th Ave N St Petersburg FL 33713-7503 |
| Practice Telephone | 7273273332 |
| Mailing Telephone | 7273273332 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MOLLY K FORTE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7273273332 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Orthotic & Prosthetic Center of Lakeland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627484 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 9808 Millwood Cir Ste A, Daphne, AL 36527-5455 | 2019-09-05 |
| 1508352204 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 7070 Mariner Blvd, Spring Hill, FL 34609-1046 | 2018-07-05 |
| 1427404508 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3936 N Davis Hwy Ste C, Pensacola, FL 32503-2746 | 2016-05-09 |
| 1821453366 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 851 Dunlawton Ave Ste 101, Port Orange, FL 32127-4234 | 2015-12-29 |
| 1497120935 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1425 Viscaya Pkwy Ste 102, Cape Coral, FL 33990-3294 | 2015-12-09 |
| 1275901191 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 47 W New Haven Ave Ste 102, Melbourne, FL 32901-4477 | 2015-09-09 |
| 1801264254 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3403 Nw 55th St, Fort Lauderdale, FL 33309-6308 | 2015-09-02 |
| 1215311477 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 400 Avenue K Se Ste 7, Winter Haven, FL 33880-4123 | 2015-07-16 |
| 1811305048 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1721 Atlantic Blvd Ste 100, Jacksonville, FL 32207-3475 | 2014-07-31 |
| 1841607066 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 5053 S Congress Ave Ste 202, Lake Worth, FL 33461-4706 | 2014-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOTIC & PROSTHETIC CENTERS, INC. | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 |
| Street Address |
2316 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1427564020 | Clarkes Hair Design | Prosthetic/Orthotic Supplier | 2434 Us Highway 92 E, Lakeland, FL 33801-2650 | 2017-12-18 |
| 1659623668 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1865 N Crystal Lake Dr, Lakeland, FL 33801-5955 | 2012-10-15 |
| 1073519831 | Faatz, Inc. | Prosthetic/Orthotic Supplier | 2606 Lakeland Hills Blvd, Lakeland, FL 33805-2218 | 2005-06-24 |
| 1538544846 | Troy Anderson | Prosthetic/Orthotic Supplier | 2606 Lakeland Hills Blvd, Lakeland, FL 33805-2218 | 2015-07-28 |
| 1942620661 | Steven Schmoke | Prosthetic/Orthotic Supplier | 2606 Lakeland Hills Blvd, Lakeland, FL 33805-2218 | 2014-04-21 |
| 1245469824 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 2606 Lakeland Hills Blvd, Lakeland, FL 33805-2218 | 2009-07-05 |
| 1700058518 | Mcfarland Shoe Repair LLC | Prosthetic/Orthotic Supplier | 5355 S Florida Ave, Lakeland, FL 33813-4913 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| 1659994184 | Prosthetic Innovations Inc | Prosthetic/Orthotic Supplier | 2300 W Sample Rd Ste 314, Pompano Beach, FL 33073-3030 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.