FLORIDA O&P SERVICES INC (NPI# 1104068915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104068915 |
| Entity Type | Organization |
| Organization Name | FLORIDA O&P SERVICES INC |
| Practice Address |
1045 Riverside Ave Suite 100 Jacksonville FL 32204-4127 |
| Practice Telephone | 9043538005 |
| Practice Fax Number | 9043538007 |
| Mailing Telephone | 9043538005 |
| Mailing Fax Number | 9043538007 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | MS. NICOLE R BROWN (COMPANY MANAGER) |
| Authorized Official Telephone | 9042787025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | POR154 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093859050 | Florida O&p Services Inc | Prosthetic/Orthotic Supplier | 2540 Metrocentre Blvd Ste 6, West Palm Beach, FL 33407-3108 | 2007-02-16 |
| Street Address |
1045 RIVERSIDE AVE SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164596649 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2006-11-17 |
| 1447769369 | Kaylee Munch | Occupational Therapist | 1045 Riverside Ave, Jacksonville, FL 32204-4127 | 2017-09-22 |
| 1871016295 | Bryan Wagner | Specialist/Technologist | 1045 Riverside Ave, 190, Jacksonville, FL 32201 | 2017-07-18 |
| 1457802688 | Kathryn Kane | Physical Therapy Assistant | 1045 Riverside Ave, Jacksonville, FL 32204-4127 | 2016-10-24 |
| 1174077218 | Kelsey Grimaldi | Specialist/Technologist | 1045 Riverside Ave, #190, Jacksonville, FL 32204-4127 | 2016-08-05 |
| 1558734079 | Cameron Juneau | Physical Therapy Assistant | 1045 Riverside Ave, Suite190, Jacksonville, FL 32204-4127 | 2015-11-05 |
| 1669805693 | Stephanie Sulkala | Specialist | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2013-08-13 |
| 1235413063 | Jamie Lee Erickson | Specialist/Technologist | 1045 Riverside Ave, #190, Jacksonville, FL 32204-4127 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1295367837 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1300 Riverplace Blvd Ste 100, Jacksonville, FL 32207-1815 | 2020-02-11 |
| 1952955627 | B Jazzy Salon Inc | Prosthetic/Orthotic Supplier | 5116 Gate Pkwy Apt 5111, Jacksonville, FL 32256-0265 | 2019-07-30 |
| 1043771777 | Jimetra West | Prosthetic/Orthotic Supplier | 1449 Morgana Rd, Jacksonville, FL 32211-4910 | 2019-03-26 |
| 1144769092 | Nupath Medical LLC | Prosthetic/Orthotic Supplier | 11244 Turnbridge Dr, Jacksonville, FL 32256-2342 | 2017-02-13 |
| 1700287018 | Janet Johnson | Prosthetic/Orthotic Supplier | 3132 Beach Blvd, Jacksonville, FL 32207-3710 | 2014-09-07 |
| 1043619166 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4835 Town Crossing Drive, Jacksonville, FL 32246-8577 | 2014-08-14 |
| 1053679365 | Jean T. Proulx | Prosthetic/Orthotic Supplier | 3132 Beach Boulevard, Jacksonville, FL 32207-3710 | 2012-04-25 |
| 1023309572 | Bremer Brace of Florida, Inc. | Prosthetic/Orthotic Supplier | 4131 University Blvd S Ste 16, Jacksonville, FL 32216-4346 | 2011-05-02 |
| 1720227465 | Kathleen Elizabeth Brockway | Prosthetic/Orthotic Supplier | 13740 Beach Blvd Ste 404, Jacksonville, FL 32224-6036 | 2009-02-19 |
| 1760637599 | Brandis Wig Salon | Prosthetic/Orthotic Supplier | 7275 103rd St, Jacksonville, FL 32210 | 2008-11-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.