Organization
EAST COAST ORTHOTICS INC
Active
Parent organization
HANGER INC
Other names
East Coast Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
MS. SHERYL PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
129 W HIBISCUS BLVD STE N, MELBOURNE, FL 32901-3006
(321) 724-5411
(321) 724-6551
Mailing address
129 W HIBISCUS BLVD STE N, MELBOURNE, FL 32901-3006
(321) 724-5411
(321) 724-6551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 2
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0966993
AETNA
FL
01
—
5290148
AETNA PPO
FL
01
—
M2332
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/06/2007
Last updated
05/15/2013
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