Organization
PROSTHETIC & ORTHOTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS G GALLO LPO (DIRECTOR)
(941) 486-4200
Entity
Organization
Contact information
Practice address
256 NOKOMIS AVE S, STE 4, VENICE, FL 34285-2357
(941) 486-4200
(941) 486-9300
Mailing address
PO BOX 1521, VENICE, FL 34284
(941) 486-4200
(941) 486-9300
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 6
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82649
NORTHWOOD-NPN
FL
01
—
M2769
BC-BS
FL
Enumeration date
04/24/2007
Last updated
08/22/2020
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