Organization
TAMPA BAY BRACE AND LIMB INC
Active
Other names
CLEARWATER LIMB & BRACE
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BAILEY (ADMINISTRATOR)
(727) 449-9292
Entity
Organization
Contact information
Practice address
516 LAKEVIEW RD VILLA1, CLEARWATER, FL 33756-9999
(727) 449-9292
(727) 449-9393
Mailing address
516 LAKEVIEW RD, CLEARWATER, FL 33756-3302
(727) 449-9292
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00124
UNIVERSAL HEALTH CARE
FL
01
—
186747
WELLCARE
FL
01
—
M0692
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2007
Last updated
04/20/2008
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