Organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMESH SAXENA (OWNER)
(219) 791-9200
Entity
Organization
Contact information
Practice address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(386) 258-0401
(386) 252-1013
Mailing address
3803 E LINCOLN HWY, MERRILLVILLE, IN 46410-5809
(219) 791-9200
(312) 268-5389
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
04/07/2023
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