Intercoastal Orthotics & Prosthetics, Llc
Prosthetic & Orthotic Supplier
1 Pelican Dr Ste A, Edgewater
Florida, 32141-4254
386-409-9432 386-409-9433
Maps & DirectionsIntercoastal Orthotics & Prosthetics, Llc is a Prosthetic & Orthotic Supplier in Edgewater, Florida. It is situated at 1 Pelican Dr Ste A, Edgewater and its contact number is 386-409-9432. The authorized person of Intercoastal Orthotics & Prosthetics, Llc is Mr. Tom Harvey Mowery
who is Prosthetist, Orthotist of the store and his/her contact number is 386-409-9432. Primary license number for Intercoastal Orthotics & Prosthetics, Llc is POR 162 in Florida.
Intercoastal Orthotics & Prosthetics, 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 Profile:
Intercoastal Orthotics & Prosthetics, 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.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 1 Pelican Dr Ste A, Edgewater,
Florida, 32141-4254 |
| Phone: | 386-409-9432 |
| Fax: | 386-409-9433 |
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: | Mr. Tom Harvey Mowery |
| Position: | Prosthetist, Orthotist |
| Contact Number: | 386-409-9432 |
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 Intercoastal Orthotics & Prosthetics, Llc center are as mentioned below.
| NPI Number: | 1083839062 |
| NPI Enumeration Date: | 16 Apr, 2007 |
| NPI Last Update On: | 03 Aug, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Intercoastal Orthotics & Prosthetics, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | POR 162 | 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 |
| M2714 | Other | Florida | Blue Cross Provider # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Intercoastal Orthotics & Prosthetics, Llc
1 Pelican Dr Ste A,
Edgewater, Florida |
| Zip: | 32141-4254 |
| Phone Number: | 386-409-9432 |
| Fax Number: | 386-409-9433 |
Patients can reach Intercoastal Orthotics & Prosthetics, Llc at
1 Pelican Dr Ste A, Edgewater, Florida or can
call to book an appointment on 386-409-9432.
Comments/ Reviews:
Patients can read all the reviews posted for Intercoastal Orthotics & Prosthetics, Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Intercoastal Orthotics & Prosthetics, Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.