# ORTHOTIC & PROSTHETIC CLINIC OF TAMPA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ORTHOTIC & PROSTHETIC CLINICS OF AMERICA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497530810
- **Authorized official:** MR. RAFAEL AGUSTIN DIAZ ABREU (OWNER / AMBR)
- **Authorized official phone:** (305) 812-5087

## Contact information

- **Practice address:** 34760 US HIGHWAY 19 N, PALM HARBOR, FL 34684-2120
- **Practice address phone:** (813) 466-5006
- **Practice address fax:** (813) 531-8385
- **Mailing address:** 2754 NW 27TH AVE, BOCA RATON, FL 33434-3692
- **Mailing address phone:** (305) 812-5087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 06/14/2024