Organization
ABC PROSTHETICS AND ORTHOTICS OF CLERMONT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY M HARRIGAN (BILLING MANAGER)
(407) 341-5873
Entity
Organization
Contact information
Practice address
235 CITRUS TOWER BLVD, SUITE 108, CLERMONT, FL 34711-2712
(352) 243-1832
(352) 243-1839
Mailing address
235 CITRUS TOWER BLVD, SUITE 108, CLERMONT, FL 34711-2712
(352) 243-1832
(352) 243-1839
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR41
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2590
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/18/2005
Last updated
08/22/2020
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