SOUTH BEACH ORTHOTICS & PROSTHETICS, INC (NPI# 1912259961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912259961 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
2325 Ulmerton Rd Suite 23 Clearwater FL 33762-2282 |
| Mailing Address |
3350 Nw 2nd Avenue Suite B-18 Boca Raton FL 33431 |
| Practice Telephone | 7279147284 |
| Practice Fax Number | 8889727020 |
| Mailing Telephone | 5613944200 |
| Mailing Fax Number | 5613944422 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | MR. MARK SELLECK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5613944200 |
| 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 |
|---|---|---|---|---|
| 1578909966 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3915 Se Lake Weir Avenue, Ocala, FL 34480 | 2013-05-13 |
| 1659623668 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1865 N Crystal Lake Dr, Lakeland, FL 33801-5955 | 2012-10-15 |
| 1982985883 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6545 Nova Dr Ste 203, Davie, FL 33317-7410 | 2011-09-06 |
| 1841590734 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4147 Sun N Lake Blvd, Sebring, FL 33872-2131 | 2010-10-26 |
| 1346559507 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 7305 Sw Gaines Ave, Stuart, FL 34997-7332 | 2010-10-05 |
| 1477999837 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6817 Southpoint Parkway, Suite 2303, Jacksonville, FL 32216 | 2013-05-13 |
| 1497007447 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1275 W Granada Blvd, Suite A6, Ormond Beach, FL 32174-8259 | 2012-10-15 |
| 1326302928 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 4751 W 4th Ave, Hialeah, FL 33012-3938 | 2012-06-28 |
| Street Address |
2325 ULMERTON RD SUITE 23 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33762-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342768 | Ross E Glider | Internal Medicine | 2325 Ulmerton Rd, Ste-19, Clearwater, FL 33762-2282 | 2005-11-04 |
| 1487002606 | Non-surgical Othopedics & Spine Pllc | Physical Medicine & Rehabilitation | 2325 Ulmerton Rd, Suite 26, Clearwater, FL 33762-2282 | 2016-05-27 |
| 1275996589 | Non-surgical Orthopedics & Spine Pllc | Specialist | 2325 Ulmerton Rd, Suite 26, Clearwater, FL 33762-3373 | 2016-04-04 |
| 1699147116 | Divine Aging, LLC | General Practice | 2325 Ulmerton Rd, Suite 19, Clearwater, FL 33762-2282 | 2015-10-23 |
| 1598166316 | Bioscrip Infusion Services, LLC | Nursing Care | 2325 Ulmerton Rd, Suites 11 I & J, Clearwater, FL 33762-2282 | 2014-09-11 |
| 1972902450 | Feathersound Smiles Pa | Clinic/Center | 2325 Ulmerton Rd, Suite 27, Clearwater, FL 33762-2282 | 2014-08-20 |
| 1720429475 | Amir Daoud | Dentist | 2325 Ulmerton Rd, Suite 27, Clearwater, FL 33762-2282 | 2013-07-10 |
| 1871854422 | Cps Surgery Center, LLC | Clinic/Center | 2325 Ulmerton Rd, Clearwater, FL 33762-2282 | 2012-05-30 |
| 1689823387 | Jayco Anesthesia Service LLC | Anesthesiology | 2325 Ulmerton Rd, Ste. 27, Clearwater, FL 33762-2282 | 2008-09-17 |
| 1649310814 | Renaissance Clinique, Pa | Clinic/Center | 2325 Ulmerton Rd, Ste. 27, Clearwater, FL 33762-2282 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1134756869 | Pinellas County Sheriff's Office | Clinic/Center | Pinellas County Jail, 14400 49th Street North, Clearwater, FL 33762 | 2020-03-24 |
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1013401108 | Franz Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 307, Clearwater, FL 33762 | 2018-06-21 |
| 1023502184 | Clearwater Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 312, Clearwater, FL 33762 | 2018-06-21 |
| 1861803850 | Pinellas 1 Home Health Corp | Home Health | 4707 140th Avenue North Ste 106a, Clearwater, FL 33762 | 2014-05-13 |
| 1093065633 | Fast360 LLC | Transportation Broker | 10200 49th St N Ste 100, Clearwater, FL 33762 | 2012-09-11 |
| 1316253867 | Sophia Zavrou | Psychologist | 2325 Ulmerton Rd Ste 7g, Clearwater, FL 33762 | 2010-08-22 |
| 1356671275 | Suncoast Medicare Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4552b 107th Circle N, Clearwater, FL 33762 | 2009-12-29 |
| 1407006042 | Cynthia Rena' Williams | Physical Therapist | 13535 Feather Sound Dr., Suite 135, Clearwater, FL 33762 | 2008-09-19 |
| Find all providers in zip 33762 | ||||
| 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 |
|---|---|---|---|---|
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1528525029 | Pt Medical LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E Ste 402b, Clearwater, FL 33756-3959 | 2019-02-21 |
| 1407349533 | Priority Medical, LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E Ste 402e, Clearwater, FL 33756-3959 | 2018-06-13 |
| 1184867285 | Pedorthic Office - Footwear & Orthotics, LLC | Prosthetic/Orthotic Supplier | 16 N Saturn Ave, Clearwater, FL 33755-6229 | 2009-04-20 |
| 1447441449 | Tampa Bay Brace and Limb Inc | Prosthetic/Orthotic Supplier | 516 Lakeview Rd Villa1, Clearwater, FL 33756-9999 | 2007-08-05 |
| 1457743114 | Orange Orthotics, LLC | Prosthetic/Orthotic Supplier | 611 Druid Rd E, Ste 204a, Clearwater, FL 33756-3959 | 2015-03-04 |
| 1700012747 | Foundation Physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2009-06-04 |
| 1487794848 | Barr Prosthetics & Orthotics, Pa | Prosthetic/Orthotic Supplier | 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 | 2007-02-07 |
| 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 |
| 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 |
| 1659994184 | Prosthetic Innovations Inc | Prosthetic/Orthotic Supplier | 2300 W Sample Rd Ste 314, Pompano Beach, FL 33073-3030 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33762 |
Please comment or provide details below to improve the information on SOUTH BEACH ORTHOTICS & PROSTHETICS, 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.