NPI 1104068915

Florida O&p Services INC

Organisation Prosthetic/Orthotic Supplier Jacksonville, FL

Practice location

Address: 1045 Riverside Ave Suite 100, Jacksonville, FL 32204-4127
Phone: (904) 353-8005
Fax: (904) 353-8007

Authorised official

Name: Nicole R Brown
Title: Company Manager
Phone: (904) 278-7025

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence POR154 (FL)

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Registry record

NPI: 1104068915
Entity type: Organization
NPI issued: 26 Mar 2009
Record last updated: 26 Mar 2009

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.