Organization
WESTCOAST BRACE & LIMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DORR (PRACTICE MANAGER)
(813) 985-5000
Entity
Organization
Contact information
Practice address
341 N MAITLAND AVE STE 210, MAITLAND, FL 32751-4771
(813) 985-5000
(813) 985-4499
Mailing address
5311 E FLETCHER AVE, TEMPLE TERRACE, FL 33617-1147
(813) 985-5000
(813) 985-4499
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109525300
—
FL
Enumeration date
10/11/2018
Last updated
09/10/2024
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