Organization
SOUTH BEACH ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SELLECK (OWNER / PRESIDENT)
(561) 394-4200
Entity
Organization
Contact information
Practice address
4751 W 4TH AVE, HIALEAH, FL 33012-3938
(786) 577-0283
(305) 675-3706
Mailing address
3350 NW 2ND AVENUE, SUITE B-18, BOCA RATON, FL 33431
(561) 394-4200
(561) 394-4422
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
03/21/2019
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