Organization
FAKLIS ORTHOPEDIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASILE G FAKLIS CO, BOCO (OWNER, OTHOTIST)
(727) 938-1525
Entity
Organization
Contact information
Practice address
139 E TARPON AVE, TARPON SPRINGS, FL 34689-3451
(727) 938-1525
(727) 938-1669
Mailing address
139 E TARPON AVE, TARPON SPRINGS, FL 34689-3451
(727) 938-1525
(727) 938-1669
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 84
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021837500
—
FL
Enumeration date
12/12/2006
Last updated
11/12/2007
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