Organization
BADER PROSTHETICS ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE BADER CPO (OWNER PRACTITIONER)
(813) 962-6100
Entity
Organization
Contact information
Practice address
13711 N DALE MABRY HWY, TAMPA, FL 33618
(813) 962-6100
(813) 961-0247
Mailing address
13711 N DALE MABRY HWY, TAMPA, FL 33618
(813) 962-6100
(813) 961-0247
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
POR53
FL
224P00000X
Prosthetist
POR53
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2130
BCBS
FL
Enumeration date
06/07/2006
Last updated
09/11/2025
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