MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC


Address: 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002
Phone: 7863605514

MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC (NPI# 1730703851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730703851
Entity Type Organization
Organization Name MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC
Practice Address 4208 N 31st Ave Ste 2
Hollywood
FL 33021-2002
Mailing Address 4990 Sw 72nd Ave Ste 107
Miami
FL 33155-5524
Practice Telephone 7863605514
Practice Fax Number 7865365693
Mailing Telephone 7863605514
Mailing Fax Number 7865365693
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Authorized Official Name SILVIO ANDRES MARTINEZ (PRESIDENT)
Authorized Official Telephone 7863605514
Authorized Official Credential LPO, CPO
Is Organization Subpart Y
Parent Organization Name MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 022580600 05

Other Provider/Organization Names

Other Name Type Code
Mahnke's Orthotics & Prosthetics Doing Business As Name - Organization
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164420766 Mahnke's Orthotics & Prosthetics of Deerfield Inc Prosthetic/Orthotic Supplier 4990 Sw 72nd Ave, Ste 107, Miami, FL 33155-5524 2005-07-08

Office Location

Street Address 4208 N 31ST AVE STE 2
City HOLLYWOOD
State FL
Zip Code 33021-2002

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1942798368 Kyndra Monique Liburd Student in an Organized Health Care Education/Training Program Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 2018-05-01
1992292106 Madeleine Mariela Reyes Nurse Practitioner 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 2018-04-13
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1851451421 Fenton Brace & Limb Co., Inc. Prosthetic/Orthotic Supplier 2109 N State Road 7, Hollywood, FL 33021-3806 2006-12-12
1881772853 South Browaid Brace Inc Prosthetic/Orthotic Supplier 3500 Tyler Street, Hollywood, FL 33021 2006-11-01
1265525703 Hanger Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 6030 Hollywood Blvd Ste 120, Hollywood, FL 33024-7923 2006-10-02
1598711053 A Fitting Experience Mastectomy Shoppe, Inc. Prosthetic/Orthotic Supplier 5816 Stirling Rd, Hollywood, FL 33021-1527 2006-05-26
1477732865 Hair Design Center Prosthetic/Orthotic Supplier 1320 N Highland Ave, Hollywood, CA 90028-7609 2007-11-01

Providers in the same taxonomy and state

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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
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
1659994184 Prosthetic Innovations Inc Prosthetic/Orthotic Supplier 2300 W Sample Rd Ste 314, Pompano Beach, FL 33073-3030 2020-05-19
1578185161 The Beauty Menagerie LLC Prosthetic/Orthotic Supplier 7303 Twinwood Trce, Sanford, FL 32771-7260 2020-05-18
1801416946 Oso Orthotics & Prosthetics LLC Prosthetic/Orthotic Supplier 11983 Tamiami Trl N Ste 100c, Naples, FL 34110-1603 2020-04-18
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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

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.

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