Gulf Coast Orthotics & Prosthetics Center, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Venice, Florida. It is situated at 4120 Woodmere Park Blvd, Suite 7, Venice and its contact number is 941-497-3800. The authorized person of Gulf Coast Orthotics & Prosthetics Center, Llc is Keith Roderiques
who is Owner of the store and his/her contact number is 941-497-3800. Primary license number for Gulf Coast Orthotics & Prosthetics Center, Llc is POR 181 in Florida. Gulf Coast Orthotics & Prosthetics Center, Llc 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:
Gulf Coast Orthotics & Prosthetics Center, Llc 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.
4120 Woodmere Park Blvd, Suite 7, Venice, Florida, 34293-5373
Phone:
941-497-3800
Fax:
941-497-7775
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:
Keith Roderiques
Position:
Owner
Contact Number:
941-497-3800
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 Gulf Coast Orthotics & Prosthetics Center, Llc center are as mentioned below.
NPI Number:
1538355250
NPI Enumeration Date:
16 Sep, 2007
NPI Last Update On:
20 Jun, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gulf Coast Orthotics & Prosthetics Center, Llc are as mentioned below.
Specialization
License Number
State
Status
POR 181
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
749649
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gulf Coast Orthotics & Prosthetics Center, Llc 4120 Woodmere Park Blvd, Suite 7 Venice, Florida
Zip:
34293-5373
Phone Number:
941-497-3800
Fax Number:
941-497-7775
Patients can reach Gulf Coast Orthotics & Prosthetics Center, Llc at 4120 Woodmere Park Blvd, Suite 7, Venice, Florida or can call to book an appointment on 941-497-3800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.