NPI 1033462171
About You
Practice location
- Address
- 3401 Henderson Blvd Suite a, Tampa, FL 33609-3989
- Phone
- (813) 876-2727
- Fax
- (813) 876-2725
- Mailing address
- 3401 Henderson Blvd STE a, Tampa, FL 33609-3988
Authorised official
- Name
- Jerry Wayne Sokol
- Title
- Owner
- Phone
- (801) 891-1475
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1033462171
- Entity type
- Organization
- NPI issued
- 25 Oct 2012
- Record last updated
- 28 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.