PROSTHETIC INNOVATIONS INC (NPI# 1659994184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659994184 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC INNOVATIONS INC |
| Practice Address |
2300 W Sample Rd Ste 314 Pompano Beach FL 33073-3030 |
| Practice Telephone | 3059859835 |
| Mailing Telephone | 7542229805 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JOHN MOSQUERA (PRESIDENT) |
| Authorized Official Telephone | 7542229805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430257 | Prosthetic Innovations Inc | Prosthetic/Orthotic Supplier | 10615 Perrin Beitel Rd Ste 204, San Antonio, TX 78217-3140 | 2018-09-07 |
| Street Address |
2300 W SAMPLE RD STE 314 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33073-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| 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 |
|---|---|---|---|---|
| 1043741853 | Vladimir Kaplun | Prosthetic/Orthotic Supplier | 1441 Sw 30th Ave, Suite 8, Pompano Beach, FL 33069-1124 | 2017-03-23 |
| 1427395318 | Elegant Beauty Supplies # 11 Inc | Prosthetic/Orthotic Supplier | 2099 W Atlantic Blvd, Pompano Beach, FL 33069-2757 | 2013-01-11 |
| 1790781482 | Garrison's Orthothic & Prosthetic | Prosthetic/Orthotic Supplier | 1531 E Atlantic Blvd, Pompano Beach, FL 33060-6748 | 2005-06-27 |
| 1417222126 | W R Rosen Inc | Prosthetic/Orthotic Supplier | 50 Ne 26th Ave, Suite 206, Pompano Beach, FL 33062-5239 | 2012-03-13 |
| 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 | POMPANO BEACH |
| Zip Code | 33073 |
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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.