Organization
MOBILE PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE KINGSTON (COO)
(407) 245-7770
Entity
Organization
Contact information
Practice address
4809 MEMORIAL HWY STE 100, TAMPA, FL 33634-7515
(386) 245-7770
Mailing address
3160 SOUTHGATE COMMERCE BLVD STE 38, ORLANDO, FL 32806-8557
(407) 245-7770
(407) 245-7727
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001590300
—
FL
Enumeration date
08/24/2017
Last updated
02/23/2021
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