NPI 1164758785

United Prosthetics and Orthotics

Organisation Prosthetist Jacksonville, FL

Practice location

Address: 9759 San Jose Blvd STE 2, Jacksonville, FL 32257-5418
Phone: (904) 638-9686
Mailing address: PO Box 56886, Jacksonville, FL 32241-6886

Authorised official

Name: Reginald A. Mays
Title: Owner
Phone: (904) 444-3970

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 511 (AL)

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Registry record

NPI: 1164758785
Entity type: Organization
NPI issued: 2 Nov 2009
Record last updated: 18 Mar 2010

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.