Organization
PISANI'S ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY M PISANI LOP (PRESIDENT)
(561) 433-1556
Entity
Organization
Contact information
Practice address
3208 2ND AVE N, SUITE 5, PALM SPRINGS, FL 33461-3682
(561) 433-1556
(561) 433-5298
Mailing address
3208 2ND AVE N, SUITE 5, PALM SPRINGS, FL 33461-3682
(561) 433-1556
(561) 433-5298
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104516
AVMED
FL
01
—
168999
HEALTHEASE
FL
01
—
205649
AMERIGROUP
FL
01
—
51148
ABP
FL
01
—
64688
APB
FL
01
—
7165406
AETNA
FL
01
—
820076
PCA
FL
05
—
950785000
—
FL
01
—
A101300
PHYSICIANS HEALTH CARE
FL
01
—
M2100
BLUE CROSS BLUE SHIELD
FL
01
—
M2498
BLUE CROSS BLUE SHIELD
FL
01
—
SG027999
VISTA MEDICARE
FL
Enumeration date
11/13/2006
Last updated
04/02/2013
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