Pediatric Orthotic Prosthetic Services Southeast Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
12502 Usf Pine Dr, Suite 100, Tampa
Florida, 33612-9411

 813-975-7139     813-631-7160Maps & Directions
Pediatric Orthotic Prosthetic Services Southeast Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Tampa, Florida. This organization is also known as sub part of Pediatric Orthotic Prosthetic Services Southeast Llc. It is situated at 12502 Usf Pine Dr, Suite 100, Tampa and its contact number is 813-975-7139. The authorized person of Pediatric Orthotic Prosthetic Services Southeast Llc is Mr. Ronald Gingras who is Director Orthotics Prosthetics of the store and his/her contact number is 813-975-7116. Primary license number for Pediatric Orthotic Prosthetic Services Southeast Llc is 4184 in Florida.
Pediatric Orthotic Prosthetic Services Southeast 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:
Pediatric Orthotic Prosthetic Services Southeast 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, Prosthetic & Orthotic Supplier
Address:12502 Usf Pine Dr, Suite 100, Tampa,
Florida, 33612-9411
Phone:813-975-7139
Fax:813-631-7160
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. Ronald Gingras
Position: Director Orthotics Prosthetics
Contact Number: 813-975-7116
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 Pediatric Orthotic Prosthetic Services Southeast Llc center are as mentioned below.
NPI Number: 1386929347
Parent Organization: Pediatric Orthotic Prosthetic Services Southeast Llc
NPI Enumeration Date: 20 Oct, 2011
NPI Last Update On: 17 Nov, 2014

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Orthotic Prosthetic Services Southeast Llc are as mentioned below.
SpecializationLicense NumberStateStatus
4184FloridaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
004604300MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Pediatric Orthotic Prosthetic Services Southeast Llc
Po Box 865109,
Orlando, Florida
Zip: 32886-5109
Phone Number: 844-602-3960
Fax Number: 813-281-8461
Patients can reach Pediatric Orthotic Prosthetic Services Southeast Llc at 12502 Usf Pine Dr, Suite 100, Tampa, Florida or can call to book an appointment on 813-975-7139. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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