Organization
ORTHOPEDIC BRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN S WILKINS C.O. (PRESIDENT)
(321) 639-0277
Entity
Organization
Contact information
Practice address
836 EXECUTIVE LN, SUITE 110, ROCKLEDGE, FL 32955-3597
(321) 639-0277
(321) 639-0143
Mailing address
500 N WASHINGTON AVE STE 104, TITUSVILLE, FL 32796-2759
(321) 639-0277
(321) 639-0143
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 55
FL
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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