Bay Prosthetic Center

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
930 Mar Walt Dr, Ste D, Fort Walton Beach
Florida, 32547-6706

 850-863-5959     850-863-5977Maps & Directions
Bay Prosthetic Center is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Fort Walton Beach, Florida. It is situated at 930 Mar Walt Dr, Ste D, Fort Walton Beach and its contact number is 850-863-5959. The authorized person of Bay Prosthetic Center is Glenn E Cottrill Ii who is President/owner of the store and his/her contact number is 850-863-5959. Primary license number for Bay Prosthetic Center is POR31 in Florida.
Bay Prosthetic Center is 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.


Complete Center Profile:
Bay Prosthetic Center Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:930 Mar Walt Dr, Ste D, Fort Walton Beach,
Florida, 32547-6706
Phone:850-863-5959
Fax:850-863-5977
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Glenn E Cottrill Ii
Position: President/owner
Contact Number: 850-863-5959
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Bay Prosthetic Center center are as mentioned below.
NPI Number: 1346245081
NPI Enumeration Date: 17 Jun, 2005
NPI Last Update On: 22 Aug, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bay Prosthetic Center are as mentioned below.
SpecializationLicense NumberStateStatus
POR31FloridaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
M2541OtherFloridaBcbs Provider Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Bay Prosthetic Center
930 Mar Walt Dr, Ste D
Fort Walton Beach, Florida
Zip: 32547-6706
Phone Number: 850-863-5959
Fax Number: 850-863-5977
Patients can reach Bay Prosthetic Center at 930 Mar Walt Dr, Ste D, Fort Walton Beach, Florida or can call to book an appointment on 850-863-5959. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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