NPI 1336671460

W R Rosen INC

Organisation Orthotist Fort Lauderdale, FL

Practice location

Address: 100 SE 15th Ave, Fort Lauderdale, FL 33301-3985
Phone: (954) 447-7779
Fax: (954) 447-7782
Mailing address: 2534 Empire Dr, Winston Salem, NC 27103-6710

Authorised official

Name: Jody Mitchell
Title: Director, Reimbursement
Phone: (336) 397-2616

Registered specialties (3)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1336671460
Entity type: Organization
NPI issued: 29 Mar 2017
Record last updated: 6 Feb 2019

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.