ORTHOTIC & PROSTHETIC CENTERS, INC. (NPI# 1215311477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215311477 |
| Entity Type | Organization |
| Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Other Organization Name | ORTHOTIC & PROSTHETIC CENTER OF WINTER HAVEN |
| Practice Address |
400 Avenue K Se Ste 7 Winter Haven FL 33880-4123 |
| Mailing Address |
3611 5th Ave N St Petersburg FL 33713-7503 |
| Practice Telephone | 8557275347 |
| Mailing Telephone | 7273273332 |
| Mailing Fax Number | 7273277304 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MOLLY K. FORTE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7273273332 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOTIC & PROSTHETIC CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers | |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
FL | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016213100 | 05 |
| Other Name | Type Code |
|---|---|
| ORTHOTIC & PROSTHETIC CENTER OF WINTER HAVEN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627484 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 9808 Millwood Cir Ste A, Daphne, AL 36527-5455 | 2019-09-05 |
| 1376039032 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 2316 Lakeland Hills Blvd, Lakeland, FL 33805-2910 | 2018-07-06 |
| 1508352204 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 7070 Mariner Blvd, Spring Hill, FL 34609-1046 | 2018-07-05 |
| 1427404508 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3936 N Davis Hwy Ste C, Pensacola, FL 32503-2746 | 2016-05-09 |
| 1821453366 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 851 Dunlawton Ave Ste 101, Port Orange, FL 32127-4234 | 2015-12-29 |
| 1497120935 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1425 Viscaya Pkwy Ste 102, Cape Coral, FL 33990-3294 | 2015-12-09 |
| 1275901191 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 47 W New Haven Ave Ste 102, Melbourne, FL 32901-4477 | 2015-09-09 |
| 1801264254 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3403 Nw 55th St, Fort Lauderdale, FL 33309-6308 | 2015-09-02 |
| 1811305048 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 1721 Atlantic Blvd Ste 100, Jacksonville, FL 32207-3475 | 2014-07-31 |
| 1841607066 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 5053 S Congress Ave Ste 202, Lake Worth, FL 33461-4706 | 2014-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORTHOTIC & PROSTHETIC CENTERS, INC. | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 |
| Street Address |
400 AVENUE K SE STE 7 |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| 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 |
|---|---|---|---|---|
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1306082722 | Newbold Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1547 7th St Sw, Winter Haven, FL 33880-3802 | 2009-01-07 |
| 1750362471 | Faatz, Inc | Prosthetic/Orthotic Supplier | 210 E Central Ave, Winter Haven, FL 33880-6311 | 2005-11-09 |
| 1467812099 | South Beach Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1130 1st St S, Winter Haven, FL 33880-3903 | 2016-02-24 |
| 1508041112 | Medcare Services of Orlando, Inc. | Prosthetic/Orthotic Supplier | 1547 7th St Sw, Winter Haven, FL 33880-3802 | 2008-01-02 |
| 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 |
| 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 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on ORTHOTIC & PROSTHETIC CENTERS, 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.