SOUTH BEACH ORTHOTICS AND PROSTHETIC, INC (NPI# 1205222932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205222932 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH ORTHOTICS AND PROSTHETIC, INC |
| Practice Address |
3661 S Miami Ave Suite 901 Miami FL 33133-4236 |
| Mailing Address |
3350 Nw 2nd Ave Suite B18 Boca Raton FL 33431-6675 |
| Practice Telephone | 7863912677 |
| Mailing Telephone | 5613944200 |
| Mailing Fax Number | 5613944422 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MR. MARK SELLECK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5617222428 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
3661 S MIAMI AVE SUITE 901 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547240 | David Schmitt | Internal Medicine | 3661 S Miami Ave, Ste 806, Miami, FL 33133-4214 | 2005-06-09 |
| 1043711419 | Patricia Lauren Prins Rodriguez | Nurse Practitioner | 3661 S Miami Ave, Miami, FL 33133-4236 | 2018-02-21 |
| 1508302647 | Mo Eltahir Dpm Pa | Podiatrist | 3661 S Miami Ave, Suite 209, Miami, FL 33133-4236 | 2017-01-12 |
| 1285178061 | Erodida Denise Conforti | Nurse Practitioner | 3661 S Miami Ave, Suite 209, Miami, FL 33133-4236 | 2016-12-13 |
| 1215302013 | Ivomny Valdes | Physician Assistant | 3661 S Miami Ave, Suite 409, Miami, FL 33133-4236 | 2015-12-04 |
| 1750750782 | Genesiscare Usa of Florida LLC | Urology | 3661 S Miami Ave, Suite 405, Miami, FL 33133-4236 | 2015-09-21 |
| 1730557802 | Armando Noa Gonzalez | Specialist/Technologist, Other | 3661 S Miami Ave, Suite 708, Miami, FL 33133-4236 | 2015-09-08 |
| 1770950164 | Julia T Nieda | Hearing Instrument Specialist | 3661 S Miami Ave, Suite 407, Miami, FL 33133-4236 | 2015-09-01 |
| 1760862510 | Andres Antonio Burgos | Physician Assistant | 3661 S Miami Ave, Suite 708, Miami, FL 33133-4236 | 2015-06-08 |
| 1881071678 | Ernesto V Torres Md Pllc | Surgery | 3661 S Miami Ave, Suite 402, Miami, FL 33133-4236 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| 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 |
|---|---|---|---|---|
| 1861996696 | Renuvala LLC | Prosthetic/Orthotic Supplier | 750 Nw 113 St, Miami, FL 33168 | 2018-03-19 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1538573373 | Ponce Medical Supply Inc | Prosthetic/Orthotic Supplier | 5068 Nw 74 Ave, Miami, FL 33166 | 2014-06-19 |
| 1003230632 | Ortho Pro Associates, Inc. | Prosthetic/Orthotic Supplier | 2450 Ne Miami Gardens Dr, Suite 100, Miami, FL 33180-2717 | 2014-02-18 |
| 1427332212 | Girls In Pink Mastectomy Products | Prosthetic/Orthotic Supplier | 15894 Sw 85th Ln, Miami, FL 33193-5208 | 2011-09-28 |
| 1679800593 | Quirantes Orthopedics Rx | Prosthetic/Orthotic Supplier | 6969 Coral Way, Miami, FL 33155-1705 | 2009-11-13 |
| 1447413778 | Ladies In Pink Boutique LLC | Prosthetic/Orthotic Supplier | 271 Nw 82nd Ave, Miami, FL 33126-8339 | 2008-07-07 |
| 1104099845 | Ortho Care Rx Corp | Prosthetic/Orthotic Supplier | 1707 Coral Way, Miami, FL 33145-2728 | 2008-04-02 |
| 1295931210 | Rx Castillo Orthopedic Center, Inc | Prosthetic/Orthotic Supplier | 3183 Sw 8th St, Miami, FL 33135-4533 | 2007-06-26 |
| 1578699393 | Kendall Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 13044 Sw 120th St, Miami, FL 33186-4522 | 2007-02-26 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on SOUTH BEACH ORTHOTICS AND PROSTHETIC, INC.
| 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.