NPI 1114013281

Eastern Shores Orthopedic Brace INC

Organisation Orthotist Ormond Beach, FL

Practice location

Address: 533 N Nova Road Suite 104, Ormond Beach, FL 32174
Phone: (386) 427-5649
Fax: (386) 427-9018
Mailing address: 533 N Nova Road Suite 104a, Ormond Beach, FL 32174

Authorised official

Name: Mary M McDade
Title: Owner
Phone: (386) 427-5649

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ORT47 (FL)

Other Orthotist providers in Florida →

Registry record

NPI: 1114013281
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 22 Aug 2020

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.