SOUTH BEACH ORTHOTICS & PROSTHETICS, INC (NPI# 1578909966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578909966 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
3915 Se Lake Weir Avenue Ocala FL 34480 |
| Mailing Address |
3350 Nw 2nd Avenue Suite B-18 Boca Raton FL 33431 |
| Practice Telephone | 4079516601 |
| Practice Fax Number | 4079603976 |
| Mailing Telephone | 5613944200 |
| Mailing Fax Number | 5613944422 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | MR. MARK SELLECK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5613944200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659623668 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1865 N Crystal Lake Dr, Lakeland, FL 33801-5955 | 2012-10-15 |
| 1982985883 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6545 Nova Dr Ste 203, Davie, FL 33317-7410 | 2011-09-06 |
| 1841590734 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4147 Sun N Lake Blvd, Sebring, FL 33872-2131 | 2010-10-26 |
| 1346559507 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 7305 Sw Gaines Ave, Stuart, FL 34997-7332 | 2010-10-05 |
| 1477999837 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6817 Southpoint Parkway, Suite 2303, Jacksonville, FL 32216 | 2013-05-13 |
| 1912259961 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2325 Ulmerton Rd, Suite 23, Clearwater, FL 33762-2282 | 2012-10-15 |
| 1497007447 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1275 W Granada Blvd, Suite A6, Ormond Beach, FL 32174-8259 | 2012-10-15 |
| 1326302928 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4751 W 4th Ave, Hialeah, FL 33012-3938 | 2012-06-28 |
| Street Address |
3915 SE LAKE WEIR AVENUE |
| City | OCALA |
| State | FL |
| Zip Code | 34480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895514 | Jennifer Weitlauf | Nurse Practitioner | 4075 Se 53rd Ct, Ocala, FL 34480 | 2019-01-17 |
| 1104395144 | Colby Joel Barker | Physician Assistant | 3451 Se 107th Pl, Ocala, FL 34480 | 2018-11-20 |
| 1811247281 | Lydia M. Serrano | Specialist | 3810 Se Lake Weir Avenue, Ocala, FL 34480 | 2012-09-13 |
| 1457680100 | Cradling Hands Pediatric Care Corp | Skilled Nursing Facility | 2319 Se 58th Avenue, Ocala, FL 34480 | 2009-12-09 |
| 1114152634 | Shon A Murray | Audiologist | 3615 Se 45th Avenue, Ocala, FL 34480 | 2009-05-28 |
| 1760664726 | Gabino Cortes | Massage Therapist | 3851 Se 62nd St, Ocala, FL 34480 | 2007-12-03 |
| 1346447067 | Angela Omgea Brooks | Home Health Aide | 5 Larch Trak, Ocala, FL 34480 | 2007-06-27 |
| 1528080926 | Richard Qi Li | Internal Medicine | 2501 Se 49th Ave., Ocala, FL 34480 | 2006-07-24 |
| 1376913095 | Jill Winston | Registered Nurse | 4300 Sw 13th Street, Gainesville, FL 34480 | 2015-10-07 |
| 1659465870 | Timothy Stockwell Pt Pa | Physical Therapist | 5267 Se 39th Loop, Ocala, FL 34480-0634 | 2006-10-03 |
| Find all providers in zip 34480 | ||||
| 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 |
|---|---|---|---|---|
| 1619509395 | Sky Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 3233 Sw 33rd Rd Ste 201, Ocala, FL 34474-8469 | 2020-02-10 |
| 1750844866 | Unique Lingerie Services LLC | Prosthetic/Orthotic Supplier | 4414 Sw College Rd Unit 1930, Ocala, FL 34474-4795 | 2019-04-08 |
| 1477715472 | Unique Lingerie, Inc. | Prosthetic/Orthotic Supplier | 4414 Sw College Rd, Suite 1930, Ocala, FL 34474-4790 | 2008-06-30 |
| 1700902772 | Giuseppe P Lombardo | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2007-03-22 |
| 1144222464 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 9401 Sw Highway 200, Bldg 400 Suite 404, Ocala, FL 34481-9612 | 2005-06-01 |
| 1801406251 | Prosthetic Institute of Central Florida | Prosthetic/Orthotic Supplier | 2206 Se 3rd Ave, Ocala, FL 34471-5103 | 2020-07-31 |
| 1700017514 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 2300 Se 17th St, Suite 401, Ocala, FL 34471-9107 | 2009-07-29 |
| 1033397476 | Lombardocomfort&casualshoesinc | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2008-02-07 |
| 1770763997 | Angel Wear LLC | Prosthetic/Orthotic Supplier | 11100 Sw 93rd Court Rd, Suite #7, Ocala, FL 34481-5187 | 2007-11-05 |
| 1063601722 | Raymond J Masi | Prosthetic/Orthotic Supplier | 11100 Sw 93rd Court Rd, Suite #7, Ocala, FL 34481-5187 | 2007-10-18 |
| Find all providers in OCALA | ||||
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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.