SOUTHWEST FLORIDA PROSTHETIC CLINIC (NPI# 1568596690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568596690 |
Entity Type | Organization |
Organization Name | SOUTHWEST FLORIDA PROSTHETIC CLINIC |
Other Organization Name | SOUTHWEST FLORIDA PROSTHETIC CLINIC |
Practice Address |
13691 Metro Pkwy Suite 100 Fort Myers FL 33912-4327 |
Practice Telephone | 2399360033 |
Practice Fax Number | 2399360047 |
Mailing Telephone | 2399360033 |
Mailing Fax Number | 2399360047 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2011-07-14 |
Authorized Official Name | MR. GREGORY THOMAS ANERINO (CERTIFIED ANAPLASTOLOGIST) |
Authorized Official Telephone | 2399360033 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
SOUTHWEST FLORIDA PROSTHETIC CLINIC | Former Legal Business Name - Organization |
Street Address |
13691 METRO PKWY SUITE 100 |
City | FORT MYERS |
State | FL |
Zip Code | 33912-4327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932107398 | Nancy R Schleider | Dermatology | 13691 Metro Pkwy, Ste 420, Fort Myers, FL 33912-4327 | 2005-07-11 |
1740716414 | Karlene Woodbine | Physician Assistant | 13691 Metro Pkwy, Fort Myers, FL 33912-4327 | 2017-05-02 |
1205180304 | Florida Optical Services | Eyewear Supplier (Equipment, not the service) | 13691 Metro Pkwy, Suite 100, Fort Myers, FL 33912-4327 | 2012-10-29 |
1336493436 | Monica Acosta | Technician/Technologist | 13691 Metro Pkwy, Suite 100, Fort Myers, FL 33912-4327 | 2012-10-29 |
1801113725 | Metro Medical Plaza Optical | Eyewear Supplier (Equipment, not the service) | 13691 Metro Pkwy, Suite 100, Fort Myers, FL 33912-4327 | 2010-05-02 |
1841514619 | Angela Vallejo | Physician Assistant | 13691 Metro Pkwy, Ste 330, Fort Myers, FL 33912-4327 | 2010-03-22 |
1871723585 | Kelly Ann Bebber | Physical Therapist | 13691 Metro Pkwy, Suite 400, Fort Myers, FL 33912-4327 | 2009-07-16 |
1194977512 | Lawrence R Black Do Pa | Specialist | 13691 Metro Pkwy, Suite 350, Fort Myers, FL 33912-4327 | 2008-10-16 |
1619178654 | Lawrence R. Black, D.o., P.a. | Specialist | 13691 Metro Pkwy, Suite 350, Fort Myers, FL 33912-4327 | 2007-05-29 |
1124141312 | Ear Nose & Throat Institute Facial Surgery Group Pa | Otolaryngology | 13691 Metro Pkwy, Ste 420, Fort Myers, FL 33912-4327 | 2007-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
Find all providers in zip 33912 |
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 |
---|---|---|---|---|
1932191244 | Ryder Orthopaedics Inc. | Prosthetic/Orthotic Supplier | 33 Barkley Cir, Suite 110, Fort Myers, FL 33907-7532 | 2005-08-22 |
1063414993 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 13240 N Cleveland Ave, Suite #1, Fort Myers, FL 33903-4855 | 2005-08-11 |
1366806028 | Propel Ortho LLC | Prosthetic/Orthotic Supplier | 3033 Winkler Ave, Fort Myers, FL 33916-9413 | 2016-04-08 |
1134303761 | A New Dawn Inc. | Prosthetic/Orthotic Supplier | 9280 College Pkwy, Suite 3, Fort Myers, FL 33919-4848 | 2007-12-18 |
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 |
1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
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 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33912 |
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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.