Organization Name: | EAST COAST ORTHOTICS INC |
NPI Number: | 1194864850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERYL PRICE (DIRECTOR OF REIMBURSEMENT) |
Mailing Address: | 129 W Hibiscus Blvd Ste N Melbourne |
State: | FL US |
Postal Code: | 329013006 |
Phone Number: | 3217245411 |
Fax Number: | 3217246551 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |