NPI 1083839062 INTERCOASTAL ORTHOTICS & PROSTHETICS, LLC EDGEWATER FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Intercoastal Orthotics & Prosthetics, Llc - NPI: 1083839062

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: INTERCOASTAL ORTHOTICS & PROSTHETICS, LLC
NPI Number: 1083839062
Entity Type Code: Organizational (2)
Authorized Official Name: TOM HARVEY MOWERY
(PROSTHETIST, ORTHOTIST)
Mailing Address: 1 Pelican Dr Ste A
Edgewater
State: FL US
Postal Code: 321414254
Phone Number: 3864099432
Fax Number: 3864099433
NPI Enumeration Date: 04/16/2007
NPI Last Update Date: 08/03/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 335E00000X
License Number: POR 162
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Suppliers
Taxonomy Classification: Prosthetic/Orthotic Supplier
Taxonomy Specialization:
Taxonomy Definition:
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.


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