GOMEZ ORTHOTIC SYSTEMS LLC (NPI# 1700383312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700383312 |
| Entity Type | Organization |
| Organization Name | GOMEZ ORTHOTIC SYSTEMS LLC |
| Practice Address |
4809 Memorial Hwy Tampa FL 33634-7515 |
| Mailing Address |
4737 Dolphin Cay Ln S Apt 303 Saint Petersburg FL 33711-4671 |
| Practice Telephone | 7138704163 |
| Mailing Telephone | 8326229095 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MIGUEL ALEJANDRO GOMEZ (TECHNICAL MANAGER) |
| Authorized Official Telephone | 8326229095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
4809 MEMORIAL HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| 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 |
|---|---|---|---|---|
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1013482546 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste C, Tampa, FL 33634-7515 | 2018-10-11 |
| 1043767510 | Its Jazzy Salo | Prosthetic/Orthotic Supplier | 3010 N 22nd St, Tampa, FL 33605-1914 | 2016-09-01 |
| 1013462316 | Danori Inc. | Prosthetic/Orthotic Supplier | 1425 W Busch Blvd, Tampa, FL 33612-7601 | 2016-08-17 |
| 1396135315 | Express Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3603 W Flora St, Tampa, FL 33614-4025 | 2015-01-28 |
| 1922429588 | Amy Holm | Prosthetic/Orthotic Supplier | 812 W Mlk Blvd #100, Tampa, FL 33603-3338 | 2013-12-30 |
| 1033462171 | About You | Prosthetic/Orthotic Supplier | 3401 Henderson Blvd, Suite A, Tampa, FL 33609-3989 | 2012-10-25 |
| 1376858688 | American Ortho Tech Laboratories, Inc. | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste 100, Tampa, FL 33634-7515 | 2010-08-11 |
| 1740302645 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 9639 Palm River Rd, Tampa, FL 33619-4433 | 2007-04-04 |
| 1194733758 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 5311 E Fletcher Ave, Tampa, FL 33617-1147 | 2006-08-03 |
| Find all providers in TAMPA | ||||
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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.