Organization
TAMPA ORTHOTIC MANAGEMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HURLEY ECKERSON CO, BOC, ABC (CERTIFIED ORTHOTIST/PRESIDENT)
(813) 886-9202
Entity
Organization
Contact information
Practice address
5537 SHELDON RD, SUITE N, TAMPA, FL 33615-3167
(813) 886-9202
(813) 886-9223
Mailing address
5537 SHELDON RD, SUITE N, TAMPA, FL 33615-3167
(813) 886-9202
(813) 886-9223
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT19
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032624100
—
FL
01
—
1065307
CAREPLUS
FL
01
—
14445
UNIVERSAL
FL
01
—
474446
WELLCARE
FL
01
—
613214800
OWCP DEPARTMNT OF LABOR
FL
01
—
M2843
BLUE CROSS BLUE SHIELD
FL
01
—
TAMP3870-0
CIGNA
FL
Enumeration date
02/08/2008
Last updated
02/03/2009
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