Organization
ORTHOTIC & PROSTHETIC CENTERS, INC.
Active
Other names
Orthotic & Prosthetic Center of Port Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GELAZNIK (DIRECTOR OF FINANCE & OPERATIONS)
(727) 498-1003
Entity
Organization
Contact information
Practice address
4245 KINGS HWY UNIT C, PORT CHARLOTTE, FL 33980-8416
(941) 235-3332
(941) 875-9192
Mailing address
3611 5TH AVE N, ST PETERSBURG, FL 33713-7503
(727) 327-3332
(727) 327-7304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
332BC3200X
Customized Equipment (DME)
—
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010769400
—
FL
Enumeration date
09/18/2013
Last updated
11/15/2022
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