SOUTH BEACH ORTHOTICS & PROSTHETICS, INC (NPI# 1659623668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659623668 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
1865 N Crystal Lake Dr Lakeland FL 33801-5955 |
| Mailing Address |
Po Box 1416 Boca Raton FL 33429-1416 |
| Practice Telephone | 8504502982 |
| Practice Fax Number | 8504502983 |
| Mailing Telephone | 5617894939 |
| Mailing Fax Number | 3056758575 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | MRS. VERONICA LOPEZ (GENERAL MANAGER) |
| Authorized Official Telephone | 5617894939 |
| 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 |
|---|---|---|---|---|
| 1578909966 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3915 Se Lake Weir Avenue, Ocala, FL 34480 | 2013-05-13 |
| 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 |
1865 N CRYSTAL LAKE DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| 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 |
| 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.