ABC PROSTHETICS AND ORTHOTICS OF CLERMONT INC (NPI# 1336121961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121961 |
| Entity Type | Organization |
| Organization Name | ABC PROSTHETICS AND ORTHOTICS OF CLERMONT INC |
| Practice Address |
235 Citrus Tower Blvd Suite 108 Clermont FL 34711-2712 |
| Practice Telephone | 3522431832 |
| Practice Fax Number | 3522431839 |
| Mailing Telephone | 3522431832 |
| Mailing Fax Number | 3522431839 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. WENDY M HARRIGAN (BILLING MANAGER) |
| Authorized Official Telephone | 4073415873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | POR41 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | M2590 | 01 |
| Street Address |
235 CITRUS TOWER BLVD SUITE 108 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215300330 | Paul Faucher | Hearing Instrument Specialist | 235 Citrus Tower Blvd, Ste 106, Clermont, FL 34711-2711 | 2015-11-11 |
| 1902243868 | Orlando Physician Specialists LLC | Urology | 235 Citrus Tower Blvd, Suite 102, Clermont, FL 34711-2712 | 2013-05-31 |
| 1801137625 | Travis Arsenault | Hearing Instrument Specialist | 235 Citrus Tower Blvd, 106, Clermont, FL 34711-2712 | 2013-03-04 |
| 1801130059 | Gabriel Edgardo Rodriguez | Hearing Instrument Specialist | 235 Citrus Tower Blvd, Ste 106, Clermont, FL 34711-2712 | 2012-11-11 |
| 1578816724 | Connect Hearing, Inc. | Audiologist | 235 Citrus Tower Blvd, Suite 106, Clermont, FL 34711-2712 | 2012-10-24 |
| 1982951331 | Valerie Delphine Rivera | Hearing Instrument Specialist | 235 Citrus Tower Blvd, Ste 106, Clermont, FL 34711-2711 | 2012-08-04 |
| 1407132806 | Michael D. Castrilli | Counselor | 235 Citrus Tower Blvd, Suite 107, Clermont, FL 34711-2712 | 2011-10-29 |
| 1316994767 | Korie L Carlson | Audiologist | 235 Citrus Tower Blvd, Suite 106, Clermont, FL 34711-2712 | 2006-05-30 |
| 1164480042 | Physicians Medical Group, LLC | Family Medicine | 235 Citrus Tower Blvd, Suite 104, Clermont, FL 34711-2712 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.