Organization
FLORIDA BRACING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MATTERN (PRESIDENT)
(954) 525-6700
Entity
Organization
Contact information
Practice address
500 SE 17TH ST, SUITE 301, FORT LAUDERDALE, FL 33316-2547
(954) 525-6700
(954) 525-4330
Mailing address
500 SE 17TH ST, SUITE 301, FORT LAUDERDALE, FL 33316-2547
(954) 525-6700
(954) 525-4330
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ORT109
FL
224P00000X
Prosthetist
POR141
FL
332B00000X
Durable Medical Equipment & Medical Supplies
1312313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032008100
—
FL
Enumeration date
09/22/2005
Last updated
04/14/2009
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