Organization
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIO A MARTINEZ CPO/LPO (PRESIDENT)
(954) 772-1299
Entity
Organization
Contact information
Practice address
4990 SW 72ND AVE, STE 107, MIAMI, FL 33155-5524
(954) 772-1299
(954) 772-1495
Mailing address
4990 SW 72ND AVE, STE 107, MIAMI, FL 33155-5524
(954) 772-1299
(954) 772-1495
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027566200
—
FL
Enumeration date
07/08/2005
Last updated
04/30/2021
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